MRS. MISTY LEIGH MCGOUGH (FNP) – Family Nurse Practitioner, NPI 1942884275

MRS. MISTY LEIGH MCGOUGH (FNP) is a healthcare provider. based in Moultrie, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN201594 (GA). The NPI Number for MRS. MISTY LEIGH MCGOUGH (FNP) is 1942884275

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MISTY LEIGH MCGOUGH (FNP)
NPI
1942884275
Phone
(229) 785-2400
Address
PO BOX 2876
Enumeration Date
12 May 2021
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2297852400
Graduation Year
2020 (6 years ago)
PAC ID
9739581414
Group Practice PAC ID
1153552724
Professional Enrollment ID
I20210719000757
Address ID
GA317686783MO4XXXXCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MRS. MISTY LEIGH MCGOUGH (FNP)

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 785-2400

    Type: Mailing

  • 4 LIVE OAK CT

    MOULTRIE, GA 317686783

    Phone: (229) 785-2400

    Fax: (229) 217-4911

    Type: Location

  • 113 DEWBERRY DR

    SYLVESTER, GA 317917215

    Phone: (229) 344-6842

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 150 Open Payments records for all available years, with a total value of $2,449.

Total Amount is formed as General ($2,449) + Research ($0) + Ownership ($0) = $2,449.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($825).

Total Amount

$2,449

General + Research + Ownership

Payments

150

Total payment records

General Amount

$2,449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210719000757INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31776)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153552724View full group profile
NameSpecialtyState
Physician AssistantNC
-GA
Gastroenterology, Internal MedicineGA
Family PracticeGA

Reviews

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Frequently asked questions

What federal number belongs to MRS. MISTY LEIGH MCGOUGH (FNP)?
The federal identifier for MRS. MISTY LEIGH MCGOUGH (FNP) is NPI 1942884275.
Does this profile mean MRS. MISTY LEIGH MCGOUGH (FNP) is currently active?
Yes — MRS. MISTY LEIGH MCGOUGH (FNP) appears active in the national provider directory.
What does MRS. MISTY LEIGH MCGOUGH (FNP) treat or focus on?
Patients typically see MRS. MISTY LEIGH MCGOUGH (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. MISTY LEIGH MCGOUGH (FNP)?
The snapshot lists Moultrie, Georgia for MRS. MISTY LEIGH MCGOUGH (FNP); download NPPES for the complete set.
How can I contact MRS. MISTY LEIGH MCGOUGH (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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