MRS. ANNIE DENISE STATHAM (APRN-BC) – Family Nurse Practitioner, NPI 1982802013

MRS. ANNIE DENISE STATHAM (APRN-BC) is a healthcare provider. based in Americus, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. RN111226 (GA). The NPI Number for MRS. ANNIE DENISE STATHAM (APRN-BC) is 1982802013

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANNIE DENISE STATHAM (APRN-BC)
NPI
1982802013
Phone
(229) 931-2235
Address
800 Ga. Southwestern State University Drive
Enumeration Date
10 July 2007
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2299426993
Graduation Year
2007 (19 years ago)
PAC ID
3971904756
Professional Enrollment ID
I20210630003271
Address ID
GA317093656AM100XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. ANNIE DENISE STATHAM (APRN-BC)

  • 800 Ga. Southwestern State University Drive

    Americus, GA 31709

    Phone: (229) 931-2235

    Fax: (229) 931-2666

    Type: Location

  • 134 FOX CREEK ANX

    PRESTON, GA 318241702

    Phone: (229) 942-6993

    Type: Mailing

  • 800 GA. SOUTHWESTERN STATE UNIVERSITY DRIVE

    AMERICUS, GA 31709

    Phone: (229) 931-2235

    Fax: (229) 931-2666

    Type: Location

  • 100 MEDICAL PARK WAY

    AMERICUS, GA 317093656

    Phone: (229) 944-4031

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-02-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$15
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: 2021-06-30

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
I20210630003271INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5027$0
99213Established patient office or other outpatient visit, 20-29 minutes4723$0
View full utilization report →

Insurance plans in this area (ZIP 31709)

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Reviews

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Frequently asked questions

What identifier follows MRS. ANNIE DENISE STATHAM (APRN-BC) across health systems?
The NPI 1982802013 uniquely identifies MRS. ANNIE DENISE STATHAM (APRN-BC) in U.S. healthcare data.
Is MRS. ANNIE DENISE STATHAM (APRN-BC)'s NPI status active today?
Active status means MRS. ANNIE DENISE STATHAM (APRN-BC)'s NPI record is not deactivated in the public file.
What type of care does MRS. ANNIE DENISE STATHAM (APRN-BC) provide?
MRS. ANNIE DENISE STATHAM (APRN-BC)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. ANNIE DENISE STATHAM (APRN-BC)?
MRS. ANNIE DENISE STATHAM (APRN-BC) shows a connection to Americus, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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