Debra B Paschal , CERTIFIED NURSE PRAC
Nurse Practitioner • Gray, GA
260 W Clinton St
Gray, GA 310325430
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 12, 2006; this date does not establish years in practice.
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Published CMS data list 2,265 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 — Destruction of precancer skin growth, 2-14 growths: 852 service units.
- 99213 — Established patient outpatient office visit: 407 service units.
- 17000 — Destruction of precancer skin growth, 1 growth: 313 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,099 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Triamcinolone Acetonide — 205 prescription fills, including refills.
- Ketoconazole — 131 prescription fills, including refills.
- Clobetasol Propionate — 107 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 27 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: 237. Middle half: 83 to 600.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,941 in 2020 to 2,265 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
260 W Clinton St
Gray, GA 310325430
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Georgia Dermatology And Skin Cancer Center, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1998
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
487 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $114,737 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $78,599 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,165 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$542,193 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,616.35 across 68 records.
By nature of payment
- Food and Beverage: $1,606.70 across 67 records.
- Education: $9.65 across 1 record.
Reporting-company totals (3 largest of 14)
- ABBVIE INC.: $397.42 across 21 records.
- Sanofi and Genzyme US Companies: $253.09 across 8 records.
- Eli Lilly and Company: $226.66 across 10 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
28 years (graduated 1998)
CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Debra Paschal has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Debra Paschal as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gray and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: 237. Middle half: 83 to 600.
Too few clinicians listed under Nurse Practitioner in Gray have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: $17,131. Middle half: $6,757 to $37,268.
Too few clinicians listed under Nurse Practitioner in Gray have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: $12,801. Middle half: $5,094 to $27,820.
Too few clinicians listed under Nurse Practitioner in Gray have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,337 clinicians with data). Median for this group: 379. Middle half: 102 to 1,362.
Too few clinicians listed under Nurse Practitioner in Gray have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,337 clinicians with data). Median for this group: $21,407. Middle half: $1,326 to $171,715.
Too few clinicians listed under Nurse Practitioner in Gray have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Nurse Practitioner with a practice address in Gray, GA (3,110 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 17% from 1,941 in 2020 to 2,265 in 2024.
- 2020: 1,941
- 2021: 2,117
- 2022: 2,308
- 2023: 2,597
- 2024: 2,265
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Medicare-allowed amount
Medicare-allowed amount increased 37% from $84,037 in 2020 to $114,737 in 2024.
- 2020: $84,037
- 2021: $108,527
- 2022: $123,199
- 2023: $131,325
- 2024: $114,737
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Paid by Medicare
Paid by Medicare increased 29% from $61,062 in 2020 to $78,599 in 2024.
- 2020: $61,062
- 2021: $76,690
- 2022: $83,576
- 2023: $90,106
- 2024: $78,599
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 1,177 in 2020 and 1,099 in 2024.
- 2020: 1,177
- 2021: 923
- 2022: 803
- 2023: 1,022
- 2024: 1,099
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30-day fills
30-day fills decreased 34% from 1,779 in 2020 to 1,165 in 2024.
- 2020: 1,779
- 2021: 971
- 2022: 908
- 2023: 1,107
- 2024: 1,165
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Part D drug cost
Part D drug cost increased 634% from $73,887 in 2020 to $542,193 in 2024.
- 2020: $73,887
- 2021: $289,068
- 2022: $100,128
- 2023: $283,272
- 2024: $542,193
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 46% from $1,109.17 in 2021 to $1,616.35 in 2025.
- 2021: $1,109.17
- 2022: $1,310.88
- 2023: $2,301.29
- 2024: $2,269.15
- 2025: $1,616.35
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 68 records totaling $1,616.35.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $87.77 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
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— | General | $80.66 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $79.51 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $42.32 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $36.42 |
| Organon LLC |
Food and Beverage
In-kind items and services
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VTAMA | General | $35.00 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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RINVOQ | General | $31.70 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $31.12 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $30.53 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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— | General | $30.01 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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Rhapsido | General | $29.32 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $29.08 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $28.39 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $28.39 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $27.30 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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CIBINQO | General | $26.35 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $26.31 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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TALTZ | General | $26.19 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
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NEMLUVIO | General | $25.85 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
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ADBRY | General | $25.68 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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CIBINQO | General | $24.98 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $24.34 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
COSENTYX | General | $24.00 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
COSENTYX | General | $23.98 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $23.81 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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852 | 137 | $5.32 | $5.16 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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407 | 249 | $75.31 | $73.67 |
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17000
Destruction of precancer skin growth, 1 growth
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313 | 214 | $54.99 | $45.90 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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306 | 253 | $106.55 | $103.88 |
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11102
Biopsy of related skin growth, first growth
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136 | 119 | $81.55 | $76.28 |
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17110
Destruction of skin growth, 1-14 growths
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90 | 73 | $94.33 | $88.65 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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66 | 66 | $93.78 | $90.48 |
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17004
Destruction of precancer skin growth, 15 or more growths
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30 | 18 | $136.65 | $131.92 |
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10060
Simple or single drainage of skin abscess
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21 | 20 | $103.45 | $100.95 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
19 | 19 | $139.58 | $136.36 |
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11103
Biopsy of related skin growth, each additional growth
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14 | 13 | $40.64 | $39.44 |
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11200
Removal of skin tag, 1-15 skin tags
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11 | 11 | $79.25 | $59.88 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Triamcinolone Acetonide | Triamcinolone Acetonide | 205 | 5,994 | $2,814.26 | 127 |
| Ketoconazole | Ketoconazole | 131 | 3,868 | $2,105.01 | 76 |
| Clobetasol Propionate | Clobetasol Propionate | 107 | 3,294 | $5,084.00 | 73 |
| Hydrocortisone | Hydrocortisone | 67 | 2,228 | $643.77 | 49 |
| Ammonium Lactate | Ammonium Lactate | 57 | 1,834 | $1,321.85 | 29 |
| Fluconazole | Fluconazole | 43 | 1,137 | $1,264.22 | 33 |
| Valacyclovir | Valacyclovir Hcl | 41 | 812 | $722.37 | 16 |
| Doxycycline Hyclate | Doxycycline Hyclate | 39 | 1,107 | $1,002.38 | 20 |
| Dupixent Pen | Dupilumab | 38 | 1,134 | $151,131.19 | — |
| Econazole Nitrate | Econazole Nitrate | 37 | 1,122 | $1,242.96 | 28 |
| Metronidazole | Metronidazole | 29 | 870 | $1,387.05 | 15 |
| Clindamycin Phosphate | Clindamycin Phosphate | 29 | 890 | $772.08 | 15 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 29 | 751 | $322.27 | 12 |
| Otezla | Apremilast | 28 | 810 | $126,347.60 | — |
| Prednisone | Prednisone | 22 | 245 | $80.17 | 19 |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 22 | 483 | $966.64 | 13 |
| Dupixent Syringe | Dupilumab | 21 | 588 | $78,421.46 | — |
| Cephalexin | Cephalexin | 19 | 331 | $222.48 | 15 |
| Fluocinonide | Fluocinonide | 18 | 591 | $848.36 | 12 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 17 | 490 | $252.86 | — |
| Nystatin | Nystatin | 16 | 469 | $358.39 | — |
| Tacrolimus | Tacrolimus | 16 | 430 | $1,557.40 | — |
| Fluorouracil | Fluorouracil | 15 | 384 | $1,254.04 | 13 |
| Terbinafine Hcl | Terbinafine Hcl | 15 | 501 | $125.10 | — |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 14 | 420 | $411.56 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20100111000396
GA
6305987512
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Georgia Dermatology And Skin Cancer Center, Llc
230 N Jefferson St, Milledgeville, GA 310613418
Phone: 4784538484
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History
NPI enumerated May 12, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Gray
Mailing Address
260 W Clinton St
Gray, GA 310325430
Phone: 4789864743