HOLLY NICOLE BOTTOMS (A-GNP-C) – Nurse Practitioner, NPI 1538547609
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for HOLLY NICOLE BOTTOMS (A-GNP-C)
1133 MEDICAL DR
TYLER, TX 757012130
Phone: (903) 595-5486
Fax: (903) 595-5128
Type: Mailing
1504 BROADRICK DR
DALTON, GA 307203011
Phone: (062) 786-4037
Fax: (706) 278-0087
Type: Mailing
1200 MEMORIAL DR
DALTON, GA 307202529
Phone: (706) 272-6000
Fax: (706) 278-0087
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $300.
Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novo Nordisk Inc ($125).
Total Amount
$300
General + Research + Ownership
Payments
13
Total payment records
General Amount
$300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $125 |
| Bayer Healthcare Pharmaceuticals Inc. | $36 |
| Medtronic, Inc. | $36 |
| ABBVIE INC. | $34 |
| Otsuka America Pharmaceutical, Inc. | $25 |
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: 2023-03-28
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 |
|---|---|---|---|---|
| I20230328003131 | 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 | 119 | 74 | $0 |
| 82043 | Urine microalbumin (protein) level | 97 | 71 | $0 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 96 | 71 | $0 |
| 83540 | Iron level | 50 | 43 | $0 |
| 83550 | Iron binding capacity | 50 | 43 | $0 |
Insurance plans in this area (ZIP 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Emergency Medicine, Internal Medicine | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Internal Medicine, Rheumatology | GA | |
| Nurse Practitioner | GA |
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