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JEREMY PETTY FNP-C
NPI 1942515812
Nurse Practitioner - Family in Columbus, GA

Active since August 16, 2010PECOS EnrolledAccepts Medicare Assignment
4561 RIVER RD STE A, COLUMBUS, GA 31904(706) 478-5717(706) 229-4883 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Petty Fnp-c NPPES

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

JEREMY PETTY FNP-C (NPI 1942515812) is an individual family provider in Columbus, Georgia, licensed in Georgia (APRN-NP175210) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1942515812
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY PETTYCredential: FNP-C
Location Address4561 RIVER RD STE AColumbus, GA 31904-5828
Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730
Phone(706) 478-5717
Fax(706) 229-4883
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 16, 2010
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1942515812 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 · APRN-NP175210
4561 RIVER RD STE A, Columbus, GA 31904
Open in Google Maps ↗

Secondary Practice Location 1

Location 12737 Warm Springs RdColumbus, GA 31904-6859 · Phone (706) 653-2255 · Fax (706) 653-2329

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Petty Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406041862
PECOS Enrollment IDI20101110001293
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 31904 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 3

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

LAKEISHA MONIQUE DIXON FNP-C
Nurse Practitioner (Family)
4561 RIVER RD STE A
COLUMBUS, GA 31904
Muscogee County (706) 478-5717
MS. TAWYA SCHERRI THOMAS FNP-BC
Nurse Practitioner (Family)
4561 RIVER RD STE A
COLUMBUS, GA 31904
Muscogee County (706) 478-5717
LINDA GUEVARA DE RIOS ARNP
Nurse Practitioner
4561 RIVER RD STE A
COLUMBUS, GA 31904
Muscogee County (706) 478-5717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Petty's NPI number?

The NPI number for Jeremy Petty is 1942515812. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Jeremy Petty located?

Jeremy Petty practices at 4561 River Rd Ste A, Columbus, GA 31904. The listed phone number is (706) 478-5717.

What is Jeremy Petty's specialty?

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

Is Jeremy Petty enrolled in Medicare?

Yes. Jeremy Petty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeremy Petty was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.