MRS. KERI LYNN ALTMAN (NP-C) – Nurse Practitioner, NPI 1962851352
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KERI LYNN ALTMAN (NP-C)
PO BOX 728
BREMEN, GA 301100728
Phone: (770) 537-1234
Type: Mailing
9280 HIGHWAY 5 STE A
DOUGLASVILLE, GA 301341501
Phone: (770) 949-2250
Type: Location
1009 Alabama Ave S
Bremen, GA 301102501
Phone: (678) 821-6400
Type: Location
820 Maple St
Carrollton, GA 301173626
Phone: (678) 390-7915
Type: Location
705, Hudson Avenue, Ashburn, Turner County, Georgia, 31714, United States
ASHBURN, GA 317145312
Phone: (229) 567-2783
Type: Location
107 WEDGEWOOD DR
CARROLLTON, GA 301174335
Phone: (678) 390-7070
Fax: (678) 390-7071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $419.
Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Cranial Technologies, Inc ($110).
Total Amount
$419
General + Research + Ownership
Payments
20
Total payment records
General Amount
$419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-01-03
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 |
|---|---|---|---|---|
| I20170103001336 | 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 30110)
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