TREMEZE SCOTT JACKSON (PMHNP-BC, FNP-C) – Family Nurse Practitioner, NPI 1477076792
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TREMEZE SCOTT JACKSON (PMHNP-BC, FNP-C)
3295 RIVER EXCHANGE DR STE 211
NORCROSS, GA 300924204
Phone: (770) 405-9855
Type: Location
5330 BROOKSTONE DR NW STE 250
ACWORTH, GA 301017183
Phone: (770) 405-9855
Type: Mailing
3164 CREEK TRCE W
POWDER SPRINGS, GA 301279062
Phone: (770) 335-2302
Type: Mailing
Northside Parkway Northwest, A, Atlanta, Fulton County, Georgia, 30327, United States
ATLANTA, GA 303273007
Phone: (404) 881-8020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $913.
Total Amount is formed as General ($913) + Research ($0) + Ownership ($0) = $913.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($409).
Total Amount
$913
General + Research + Ownership
Payments
30
Total payment records
General Amount
$913
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $409 |
| Indivior Inc. | $336 |
| Teva Pharmaceuticals USA, Inc. | $147 |
| Otsuka America Pharmaceutical, Inc. | $21 |
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: 2019-08-08
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 |
|---|---|---|---|---|
| I20190808003981 | 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 30092)
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