United Telehealth Services – Neonatal-Perinatal Medicine Physician, NPI 1316206535
Neonatal-Perinatal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for United Telehealth Services
3651 Wheeler Rd
Augusta, GA 309096426
Phone: (800) 301-6254
Fax: (888) 972-5992
Type: Location
5050 Thoroughbred Ln Ste C
Brentwood, TN 370274234
Phone: (800) 301-6254
Fax: (888) 972-5992
Type: Location
350 Hospital Dr
Macon, GA 312173838
Phone: (800) 301-6254
Fax: (888) 972-5992
Type: Location
185 Hospital Rd
Winchester, TN 373982404
Phone: (800) 301-6254
Type: Location
102 WOODMONT BLVD
SUITE 200
NASHVILLE, TN 372052287
Phone: (800) 301-6254
Type: Location
1499 FAIR RD
STATESBORO, GA 304581683
Phone: (800) 301-6254
Fax: (888) 972-5992
Type: Location
350 HOSPITAL DR
MACON, GA 312173838
Phone: (800) 301-6254
Fax: (888) 972-5992
Type: Location
5050 THOROUGHBRED LANE
SUITE C
BRENTWOOD, TN 37027
Phone: (800) 301-6254
Fax: (888) 972-5992
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (345 days ago).
Enrollment records
1
Earliest due date
2025-06-30
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 |
|---|---|---|---|---|
| O20120613000518 | O | Clinic/Group Practice | TN | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 30909)
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