JULIE PETTIS FNP
NPI 1740728823
Nurse Practitioner - Family in Dublin, GA

Q: What is Julie Pettis's NPI number?

The NPI number for Julie Pettis is 1740728823. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Q: What is Julie Pettis'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 Julie Pettis was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 08, 2017PECOS Enrolled

200 INDUSTRIAL BLVD, DUBLIN, GA 31021(478) 274-3865 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2018, Feb 8, 2017 (2 updates tracked since 2017).

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About Julie Pettis Fnp NPPES

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

JULIE PETTIS FNP (NPI 1740728823) is an individual family provider in Dublin, Georgia, licensed in Georgia (F04170449) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740728823

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJULIE PETTISCredential: FNP

Location Address200 INDUSTRIAL BLVDDublin, GA 31021-2981

Mailing Address3489 New Buckeye RdWrightsville, GA 31096-3770 · (478) 609-4269

Phone(478) 274-3865

Sole ProprietorNo

Enumeration DateFebruary 8, 2017

Last NPPES UpdateNovember 6, 20182 updates tracked since enumeration

✔ NPI 1740728823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in GA · F04170449

Also ListedNurse Practitioner · SchoolTaxonomy 363LS0200X · License RN190687 (GA)

200 INDUSTRIAL BLVD, Dublin, GA 31021

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Pettis Fnp 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.

Medicare Billing Reassignments

Medicare enrollment records show Julie Pettis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Em-1 Medical Services PC

5.0 mi

Nurse Practitioner

200 INDUSTRIAL BLVD
Dublin, GA 31021

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Georgia Em-I Medical Services, LLC
132 clinicians in this Medicare group

NPI 1568614600 (478) 275-2000

Emergency Medicine Services Of Ga, LLC

114 mi

Hospitalist

4700 WATERS AVE
Savannah, GA 31404

Reassigned Medicare billing, Georgia enrollment
29 clinicians in this Medicare group

NPI 1437017084 (912) 350-7020

Acs Primary Care Physicians - Southeast PC

254 mi

Emergency Medicine

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, Georgia enrollment
586 clinicians in this Medicare group

NPI 1861430555 (843) 692-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

68 services66 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

49 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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 20

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

BETHANY HEATH WALKE

Student in an Organized Health Care Education/Training Program