MRS. JENNIFER AZAR (NP-C) – Nurse Practitioner, NPI 1376678920
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JENNIFER AZAR (NP-C)
800 N MAIN ST STE 160
ALPHARETTA, GA 300092414
Phone: (770) 276-9773
Type: Location
755 MOUNT VERNON HWY NE STE 250
ATLANTA, GA 303284290
Phone: (404) 348-4456
Fax: (404) 348-4495
Type: Location
113 FLYING SCOT CT
ALPHARETTA, GA 300054234
Phone: (770) 601-1907
Fax: (888) 502-0302
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,200.
Total Amount is formed as General ($1,200) + Research ($0) + Ownership ($0) = $1,200.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,068).
Total Amount
$1,200
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,068 |
| Galderma Laboratories, L.P. | $131 |
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: 2021-12-14
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 |
|---|---|---|---|---|
| I20211214000601 | 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 30009)
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