Theron Hawkins, NP
NPI 1699817098 · Nurse Practitioner · Gainesville, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theron Hawkins, NP is a Nurse Practitioner provider in Gainesville, GA (NPI 1699817098).
Provider details
- NPI number
- 1699817098
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- RN101168 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
589 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 260 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 208 | $102 |
| X-Ray of Chest, 2 Views71046 | 39 | $20 |
| Ct Scan of Chest Without Contrast71250 | 34 | $74 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 25 | $9 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 23 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 199 | 52 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 141 | 51 |
| Prednisone | 110 | 82 |
| Doxycycline Hyclate | 33 | 31 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 28 | — |
| Albuterol Sulfatebrand: Ventolin Hfa | 26 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$177 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2009-05-19
Frequently asked questions
- What is Theron Hawkins's NPI number?
- Theron Hawkins's National Provider Identifier (NPI) is 1699817098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theron Hawkins's specialty?
- Theron Hawkins is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theron Hawkins located?
- Theron Hawkins's practice location on file with NPPES is 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3862.
- What is Theron Hawkins's phone number?
- The practice phone number listed in the NPPES registry for Theron Hawkins is (770) 536-9864.
- Does Theron Hawkins accept Medicare?
- Theron Hawkins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theron Hawkins's NPI active?
- Yes — Theron Hawkins's NPI (1699817098) is active in the NPPES registry as of the last update on 2009-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.