BEVERLY SHAW (FNP-C) – Family Nurse Practitioner, NPI 1023548591
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BEVERLY SHAW (FNP-C)
PO BOX 394
MINERAL BLUFF, GA 305590394
Phone:
Type: Mailing
608 PINE PASS CIRCLE
MINERAL BLUFF, GA 30559
Phone: (478) 321-8079
Type: Location
3333 RIVERWOOD PKWY SE STE 250
ATLANTA, GA 303393304
Phone: (770) 914-0116
Fax: (770) 955-4278
Type: Mailing
1502 W 3RD ST
JACKSON, GA 302331979
Phone: (770) 914-1808
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $520.
Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($67).
Total Amount
$520
General + Research + Ownership
Payments
25
Total payment records
General Amount
$520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $67 |
| PFIZER INC. | $46 |
| Novo Nordisk Inc | $35 |
| GlaxoSmithKline, LLC. | $34 |
| Baxter Healthcare | $30 |
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: 2022-08-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220830000336 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 144 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 116 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 119 | 110 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 112 | 109 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 109 | 104 | $0 |
Insurance plans in this area (ZIP 30559)
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