Unknown Individual – Nurse Practitioner, NPI 1316005879
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3907 MCKEE MILL TRCE
ELLENWOOD, GA 302942058
Phone: (404) 337-7486
Fax: (352) 329-4338
Type: Location
285 BOULEVARD NE STE 145
ATLANTA, GA 303124204
Phone: (404) 390-3647
Fax: (404) 907-4052
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $9,534.
Total Amount is formed as General ($8,746) + Research ($788) + Ownership ($0) = $9,534.
Last reported payment date: 2024-02-15 • Largest payer in this snapshot: ViiV Healthcare Company ($8,469).
Total Amount
$9,534
General + Research + Ownership
Payments
72
Total payment records
General Amount
$8,746
General payments
Research Amount
$788
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
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $8,469 |
| Gilead Sciences, Inc. | $474 |
| Janssen Products, LP | $192 |
| Janssen Biotech, Inc. | $106 |
| Theratechnologies Inc. | $46 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 30294)
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