HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION – Hospitalist Physician, NPI 1760410385
Hospitalist Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION
2151 W SPRING ST
MONROE, GA 306553202
Phone: (770) 267-8461
Type: Location
Upson Regional Medical Center, 801, West Gordon Street, Thomaston, Upson County, Georgia, 30286, United States
THOMASTON, GA 302863426
Phone: (706) 647-8111
Type: Location
100, Northwest 136th Avenue, Sunrise, Broward County, Florida, 33325, United States
SUNRISE, FL 333232857
Phone: (800) 424-3672
Fax: (954) 377-3042
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: 2026-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (983 days ago).
Enrollment records
10
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20060419000545 | O | Clinic/Group Practice | GA | 2023-09-30 |
| O20100107000067 | O | Clinic/Group Practice | SC | 2025-07-31 |
| O20100512000495 | O | Clinic/Group Practice | NC | 2024-07-31 |
| O20140219000913 | O | Clinic/Group Practice | AL | TBD |
| O20180208000317 | O | Clinic/Group Practice | FL | 2024-06-30 |
| O20181106002747 | O | Clinic/Group Practice | LA | 2023-11-30 |
| O20260102000277 | O | Clinic/Group Practice | TX | TBD |
| O20260106002806 | O | Clinic/Group Practice | OH | TBD |
| O20260106002834 | O | Clinic/Group Practice | TN | TBD |
| O20260227000013 | O | Clinic/Group Practice | VA | TBD |
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 30655)
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