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NPI 1568043941ActiveIndividual· Nurse Practitioner, Family· Griffin, GA
Nurse Practitioner, Family with Georgia Emergency Group LLC, practicing in Griffin, Georgia. 35 Medicare patients in 2024, $2,535 paid; nearly all of their 68 Part D prescriptions were generic (91%).
Overview
| NPI | 1568043941 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 18, 2021 |
| Last updated in NPPES | Oct 12, 2025 |
| Certified by provider | Oct 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN269004 | GA |
| Registered Nurse | 163W00000X | RN269004 | GA |
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 | 35 |
|---|---|
| Services billed | 37 across 5 procedure codes |
| Paid by Medicare | $2,535 |
Part D prescriptions in 2024
| Prescriptions (claims) | 68 · 70 30-day fills |
|---|---|
| Patients | 43 |
| Total drug cost | $2,124 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Georgia Emergency Group LLCGriffin, GA · 23 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 74 family nurse practitioners in Griffin · All family nurse practitioners in Georgia