MONA DENNISON SMITH (NURSE PRACTITIONER) – Acute Care Nurse Practitioner, NPI 1669904884
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MONA DENNISON SMITH (NURSE PRACTITIONER)
PO BOX 689022
FRANKLIN, TN 370689022
Phone: (615) 465-7211
Fax: (615) 628-6877
Type: Mailing
1499 FAIR RD
STATESBORO, GA 304581683
Phone: (912) 486-1433
Fax: (912) 871-2261
Type: Location
1335 Ga Highway 57
Townsend, GA 313318130
Phone: (912) 832-5473
Fax: (912) 832-5509
Type: Location
6 Lester Rd
Statesboro, GA 304584786
Phone: (912) 681-8999
Type: Location
6, Lester Road, Greenwood, Inglewood, Statesboro, Bulloch County, Georgia, 30458, United States
STATESBORO, GA 304584786
Phone: (912) 681-8999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $82.
Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.
Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($32).
Total Amount
$82
General + Research + Ownership
Payments
3
Total payment records
General Amount
$82
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-11-17
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 |
|---|---|---|---|---|
| I20201117000311 | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 141 | 137 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 85 | 82 | $0 |
Insurance plans in this area (ZIP 37068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | TN | |
| - | SC | |
| Internal Medicine | GA | |
| - | GA | |
| Internal Medicine | NY | |
| Internal Medicine | VA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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