TAMMY JAVELLANA (F.N.P) – Family Nurse Practitioner, NPI 1013112077
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for TAMMY JAVELLANA (F.N.P)
2017 Saint John Ave
Suite B
Dyersburg, TN 380242209
Phone: (731) 285-6110
Fax: (731) 285-6964
Type: Location
2017, Saint John Avenue, Dyersburg, Dyer County, Tennessee, 38024, United States
SUITE B
DYERSBURG, TN 380242209
Phone: (731) 285-6110
Fax: (731) 285-6964
Type: Mailing
1505 WOODLAWN AVE STE A
DYERSBURG, TN 380243134
Phone: (731) 478-6064
Fax: (731) 285-6964
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $660.
Total Amount is formed as General ($660) + Research ($0) + Ownership ($0) = $660.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($235).
Total Amount
$660
General + Research + Ownership
Payments
41
Total payment records
General Amount
$660
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $235 |
| PFIZER INC. | $82 |
| Otsuka America Pharmaceutical, Inc. | $67 |
| Corium, LLC | $55 |
| Novo Nordisk Inc | $48 |
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: 2004-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040920000991 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 30 | 15 | $0 |
| 81003 | Automated urinalysis test | 27 | 21 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 18 | 18 | $0 |
Insurance plans in this area (ZIP 38024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | MO | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
Reviews
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