The Little Clinic – Family Nurse Practitioner, NPI 1750677241
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for The Little Clinic
1751 Newnan Crossings Blvd
Newnan, GA 30265
Phone: (678) 423-5854
Fax: (678) 423-5855
Type: Location
1931 Jesse Jewell Pkwy SE
Gainesville, GA 305012519
Phone: (470) 252-3191
Fax: (470) 252-3192
Type: Location
3240 S Cobb Dr SE
Smyrna, GA 300804194
Phone: (770) 433-3447
Fax: (770) 433-3448
Type: Location
378 Marketplace Pkwy
Dawsonville, GA 305347266
Phone: (678) 389-6509
Fax: (678) 389-6510
Type: Location
400 Peachtree Industrial Blvd
Suwanee, GA 300246989
Phone: (770) 831-3857
Fax: (770) 831-3858
Type: Location
4321 Hartley Bridge Rd
Macon, GA 312165641
Phone: (478) 788-2046
Fax: (478) 788-2047
Type: Location
455 Nathan Dean Blvd
Dallas, GA 301324921
Phone: (770) 505-3837
Fax: (770) 505-3838
Type: Location
1227 Rockbridge Rd
Stone Mountain, GA 300873064
Phone: (770) 413-1476
Fax: (770) 498-3939
Type: Location
125 Main Street Market Pl SE
Cartersville, GA 301213307
Phone: (770) 606-5212
Fax: (770) 606-5213
Type: Location
1355 S Park St
Carrollton, GA 301174433
Phone: (678) 664-3293
Fax: (678) 664-3294
Type: Location
PO BOX 932958
CLEVELAND, OH 441930028
Phone: (615) 425-4200
Type: Mailing
1685 OLD PENDERGRASS RD
JEFFERSON, GA 305492705
Phone: (706) 387-7637
Fax: (706) 387-7638
Type: Location
505 Dacula Rd
Dacula, GA 300192125
Phone: (678) 407-8750
Fax: (678) 407-8751
Type: Location
5550 Bethelview Rd
Cumming, GA 300406859
Phone: (678) 456-4089
Fax: (678) 456-4090
Type: Location
564 Crosstown Dr
Peachtree City, GA 302692916
Phone: (770) 282-2944
Fax: (770) 282-2945
Type: Location
6001 Cumming Hwy Ste 1
Sugar Hill, GA 305186113
Phone: (678) 546-4062
Fax: (678) 546-4112
Type: Location
700 Highway 29 N
Athens, GA 306011544
Phone: (706) 715-3746
Fax: (706) 715-3747
Type: Location
774 GA Hwy 96
Bonaire, GA 31005
Phone: (478) 988-5711
Fax: (478) 988-5712
Type: Location
800 Glenwood Ave SE
Atlanta, GA 303161814
Phone: (470) 447-5031
Fax: (470) 447-5032
Type: Location
2040 Barnett Shoals Rd
Athens, GA 30605
Phone: (706) 534-1693
Fax: (706) 534-1694
Type: Location
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: 2011-08-09
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 |
|---|---|---|---|---|
| O20110809000175 | O | Clinic/Group Practice | 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 30265)
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