NPPES file of Aug 9, 2026

Theron E. Hawkins, NP

Nurse Practitioner · Gainesville, GA

Theron E. Hawkins, NP is a nurse practitioner with a practice address in Gainesville, Georgia, and NPI 1699817098, issued on Feb 13, 2007. Check the license (Georgia RN101168, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699817098
Name
Theron E. Hawkins
Credential
NP
Primary taxonomy
Nurse Practitioner 363L00000X
License number
RN101168 GA
Self-reported in NPPES; status is on the state search
Practice location
1240 Jesse Jewell Pkwy SE, Gainesville, GA 30501
Phone
(770) 536-9864
Enumerated
Feb 13, 2007
Record last updated
May 19, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(770) 297-5012
Medicaid ID
000885475F GA
Medicare enrollment
Enrolled (PECOS I20070322000095); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1240 Jesse Jewell Pkwy SE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brent Archer, M.D.Internal Medicine Physician1073702916
  2. Robert Barrett, DOInternal Medicine Physician1780902411
  3. Michael Baugh, M.D.Neurology Physician1295840577
  4. Virgil Beall, MDAnesthesiology Physician1720010978
  5. Richard Blatt, M.D.Internal Medicine Physician1699951871
  6. Clinton Branch, M.D., F.A.A.N.Neurology Physician1184739435

Verify Theron E. Hawkins in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license RN101168
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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29% fewer Medicare Part D claims than the average nurse practitioner in 2024

788 Medicare Part D claims for 214 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 58% of claims.

  1. Theron Hawkins788
  2. Specialty average1,109

Most prescribed

  1. Trelegy Ellipta199 claims
  2. Albuterol Sulfate Hfa141 claims
  3. Prednisone110 claims
  4. Doxycycline Hyclate33 claims
  5. Breztri Aerosphere28 claims
  6. Ventolin Hfa26 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 82.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score70.0
  2. Costout of 100 · 30%77.6
  3. Promoting interoperabilityout of 100 · 25%94.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $177.33

3 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Theron Hawkins$177.33
  2. Specialty average$791.64

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Northeast Georgia Diagnostic Associates And Clinic, LLCGainesville, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Theron E. Hawkins among 3,109 nurse practitioner records in Georgia

Theron E. Hawkins, NP is one of 3,109 nurse practitioner records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 15% of them.

  • NPI issued2007 · 15% of these records are older, 80% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated1989 · median 2018 among the 1,734 with a school on file
  • Record last updated2009 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

41 nurse practitioner records list a practice address in Gainesville

They are 41 of the 2,998 NPPES records with a practice address in Gainesville, and 3,109 nurse practitioner records in Georgia.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Kasey Bolton, PNPGainesville, GA 305011184754210
  2. Robin Braden, ACNP-BCGainesville, GA 305011134283807
  3. April Bussoletti, NPGainesville, GA 305011134195092
  4. Angela Calvert, NPGainesville, GA 305011023212339
  5. Mary Ducote, N.P.Gainesville, GA 305011366561565
  6. Heather Heath, NPGainesville, GA 305011245268408
  7. Susan Irick, NPGainesville, GA 305011407891518
  8. Amber Mahek, ACNPGainesville, GA 305011174680177

Common questions

What is Theron E. Hawkins, NP's NPI number?

Theron E. Hawkins, NP's National Provider Identifier (NPI) is 1699817098, issued on Feb 13, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Theron E. Hawkins, NP located?

The NPPES record lists a practice address at 1240 Jesse Jewell Pkwy SE, Gainesville, GA, 30501. Phone: (770) 536-9864. Providers update this record themselves, so call before visiting.

How can I verify Theron E. Hawkins, NP's license?

NPPES lists Georgia license number RN101168, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

How much does Theron E. Hawkins, NP prescribe under Medicare Part D?

In 2024, Theron E. Hawkins, NP had 788 Medicare Part D claims for 214 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

What is Theron E. Hawkins, NP's MIPS final score?

The 2023 MIPS final score is 82.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.