JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) – Registered Nurse, NPI 1982208054

JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) is a healthcare provider. based in Powder springs, Georgia. specializing in Registered Nurse. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. RN210487 (GA). The NPI Number for JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) is 1982208054

Main info

Female
Sole Proprietor
Name
JENNIFER YVETTE REDDICK (NURSE PRACTITIONER)
NPI
1982208054
Phone
(786) 431-7637
Address
3985 SHARON SPGS
Enumeration Date
29 November 2020
Last Update Date
10 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for JENNIFER YVETTE REDDICK (NURSE PRACTITIONER)

  • 3985 SHARON SPGS

    POWDER SPRINGS, GA 301272846

    Phone: (786) 431-7637

    Mailing address matches the actual address.

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: 2024-12-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241217000824INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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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 30127)

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Reviews

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Frequently asked questions

Does JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) have a public NPI I can cite?
Public records show JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) under NPI 1982208054.
Quick check: is JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) active?
Public NPPES data shows JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) with an active NPI status right now.
What does the directory say JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) does?
Insurance directories may phrase it differently, but here JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) maps to Registered Nurse. Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER YVETTE REDDICK (NURSE PRACTITIONER)?
The directory associates JENNIFER YVETTE REDDICK (NURSE PRACTITIONER) with Powder Springs, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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