Archie Person Iii, ACNPC-AG - Medicare Nurse Practitioner in Fortson, GA

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Archie Person Iii, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Fortson, Georgia. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Privia Medical Group Of Georgia Llc and his current practice location is 7933 Ivy Park Dr, Fortson, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 587-0716.

Archie Person Iii is licensed to practice in Georgia (license number RN221260) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487296034.

Contact Information

Archie Person Iii, ACNPC-AG
7933 Ivy Park Dr,
Fortson, GA 31808-6870
(706) 587-0716
(706) 587-0716

Map and Direction




Provider's Profile

Full NameArchie Person Iii
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location7933 Ivy Park Dr, Fortson, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Archie Person Iii graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1487296034
  • Provider Enumeration Date: 10/16/2019
  • Last Update Date: 07/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921407636
  • Enrollment ID: I20210601000832

Medical Identifiers

Medical identifiers for Archie Person Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487296034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN221260 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Of Georgia Llc4284951542411

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Archie Person Iii allows following entities to bill medicare on his behalf.
Entity NameShepherd Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043311715
PECOS PAC ID: 1052301777
Enrollment ID: O20040514000768
Entity NamePiedmont Cardiology Of Atlanta, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275729691
PECOS PAC ID: 0345321691
Enrollment ID: O20080114000153
Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983
Entity NamePruitthealth Physicians Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043676299
PECOS PAC ID: 8123327061
Enrollment ID: O20160428000256
Entity NameSound Physicians Intensivists Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159590
PECOS PAC ID: 5193138634
Enrollment ID: O20201230001915

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Archie Person Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Archie Person Iii, ACNPC-AG
145 Lockmeade Way,
Fayetteville, GA 30215-8185

Ph: (706) 587-0716		Archie Person Iii, ACNPC-AG
7933 Ivy Park Dr,
Fortson, GA 31808-6870

Ph: (706) 587-0716

Reviews and Comments


Nurse Practitioner Nurses in Fortson, GA

Anndrea Marie Lampkin, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4519 Ivy Patch Dr, Fortson, GA 31808
Phone: 706-681-2924    
Ivan Regalado Rodriguez,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4614 Wisteria Ln, Fortson, GA 31808
Phone: 770-882-1728    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.