Josh Littell
NPI 1386322147ActiveIndividual· Nurse Practitioner, Acute Care· Cleveland, TN
Nurse Practitioner, Acute Care with Nephrology and Hypertension Specialists PC, practicing in Cleveland, Tennessee. In 2024 Medicare paid $74,843 for 292 patients, and Part D covered 515 of their prescriptions, 88% of them generic. Fresenius USA Marketing, Inc. was the largest of 17 companies reporting payments in 2025, $1,291 in all, mostly food and beverage. Lists Hamilton Medical Center as a hospital affiliation.
Overview
| NPI | 1386322147 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 10, 2023 |
| Last updated in NPPES | Oct 1, 2024 |
| Certified by provider | Oct 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 32868 | TN |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 292 |
|---|---|
| Services billed | 3,869 across 36 procedure codes |
| Paid by Medicare | $74,843 |
Part D prescriptions in 2024
| Prescriptions (claims) | 515 · 1,130 30-day fills |
|---|---|
| Patients | 164 |
| Total drug cost | $60,915 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Nephrology and Hypertension Specialists PCDalton, GA · 8 clinicians
Hospital affiliation
- Hamilton Medical CenterDalton, GA
Industry payments (Open Payments)
- 2025$1,291 · 64 payments from 17 companies
- 2024$1,526 · 94 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Fresenius USA Marketing, Inc. | $174.36 | 9 |
| Travere Therapeutics, Inc. | $151.12 | 6 |
| Astrazeneca Pharmaceuticals LP | $144.75 | 7 |
| Otsuka America Pharmaceutical, Inc. | $140.57 | 6 |
| Vifor Pharma, Inc. | $121.50 | 5 |
What the 2025 payments were for
- Food and Beverage$1,275 · 63 payments
- Education$16.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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