MRS. TYECHIA LEWIS HALL (FNP) – Pediatrics Physician, NPI 1093284440
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. TYECHIA LEWIS HALL (FNP)
6005 Watson Blvd Ste 100
Byron, GA 310086749
Phone: (478) 699-1028
Fax: (478) 699-1029
Type: Location
13988 GA HIGHWAY 90 E
MONTEZUMA, GA 310633004
Phone: (478) 957-0386
Type: Mailing
811 N 4TH ST
CORDELE, GA 310153219
Phone: (229) 273-5575
Type: Location
6005 WATSON BLVD STE 100
BYRON, GA 310086749
Phone: (478) 699-1028
Fax: (478) 699-1029
Type: Mailing
1114 GA HIGHWAY 96 STE D3-D5
KATHLEEN, GA 310472111
Phone: (478) 910-1090
Fax: (478) 910-1091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Corium, LLC ($129).
Total Amount
$301
General + Research + Ownership
Payments
15
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $129 |
| Ironshore Pharmaceuticals Inc. | $75 |
| GlaxoSmithKline, LLC. | $36 |
| Merck Sharp & Dohme LLC | $30 |
| PFIZER INC. | $16 |
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: 2021-01-13
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 |
|---|---|---|---|---|
| I20210113001301 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31008)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.