PERSIDA L PETCA NP-C
NPI 1720368681
Nurse Practitioner - Family in Toccoa, GA

Q: What is Persida Petca's NPI number?

The NPI number for Persida Petca is 1720368681. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Q: What is Persida Petca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Persida Petca was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2011PECOS Enrolled

58 BIG A ROAD, TOCCOA, GA 30577(706) 886-3148(706) 886-3843 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Persida L Petca Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSIDA L PETCA NP-C (NPI 1720368681) is an individual family provider in Toccoa, Georgia, licensed in Georgia (199089) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720368681

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePERSIDA L PETCACredential: NP-C

Location Address58 BIG A ROADToccoa, GA 30577-6000

Mailing Address58 Big A RoadToccoa, GA 30577-6000 · (706) 886-3148 · Fax (706) 886-3843

Phone(706) 886-3148

Fax(706) 886-3843

Sole ProprietorNo

Enumeration DateAugust 24, 2011

✔ NPI 1720368681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · 199089

58 BIG A ROAD, Toccoa, GA 30577

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Persida L Petca Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL L MALEY MD

Pediatrics