CHARLEITTE PHILLIPS (FNP-BC) – Adult Health Nurse Practitioner, NPI 1972843126
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for CHARLEITTE PHILLIPS (FNP-BC)
4785 RAPIDS CIR NW
ACWORTH, GA 301027993
Phone: (248) 778-7656
Type: Mailing
3575 FULTON MILL RD
MACON, GA 312065125
Phone: (478) 803-7600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140730002714 | I | Nurse Practitioner | MI | TBD |
| I20151005003069 | I | Nurse Practitioner | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 17 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MI | |
| Mental Health Counselor | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| - | VA | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Nurse Practitioner | MI |
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