Anthony Atwood Premo, APRN, AGACNP-BC
NPI 1033840806ActiveIndividual· Nurse Practitioner, Adult Health· Jacksonville, FL
Nurse Practitioner, Adult Health (APRN, AGACNP-BC) with Cleveland W. Randolph, Jr, MD, PA, practicing in Jacksonville, Florida. 71 Medicare patients in 2024, $14,772 paid; all of their 56 Part D prescriptions were generic. Axsome Therapeutics, Inc. was the largest of 4 companies reporting payments in 2025, $116.82 in all, mostly food and beverage.
Overview
| NPI | 1033840806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, AGACNP-BC |
| Sole proprietor | No |
| NPI issued | Jun 22, 2022 |
| Last updated in NPPES | Mar 13, 2025 |
| Certified by provider | Mar 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | APRN11020380 | FL |
| Nurse Practitioner | 363L00000X | APRN11020380 | FL |
| Nurse Practitioner, Acute Care | 363LA2100X | APRN11020380 | FL |
| Nurse Practitioner, Gerontology | 363LG0600X | APRN11020380 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 207 across 36 procedure codes |
| Paid by Medicare | $14,772 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 63 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $372.07 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Cleveland W. Randolph, Jr, MD, PAJacksonville, FL · 8 clinicians
Industry payments (Open Payments)
- 2025$116.82 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $41.20 | 2 |
| Coloplast Corp | $35.48 | 1 |
| Mayne Pharma Commercial LLC | $22.52 | 1 |
| Sumitomo Pharma America, Inc. | $17.62 | 1 |
What the 2025 payments were for
- Food and Beverage$116.82 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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