UGO AMALAHA – Family Nurse Practitioner, NPI 1104350701
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for UGO AMALAHA
1846 S CARISBROOK PL
AUSTELL, GA 301685139
Phone: (770) 313-8840
Type: Location
PO BOX 335
SMYRNA, GA 300810335
Phone: (770) 313-8840
Type: Mailing
14121, Parke Long Court, Chantilly, Fairfax County, Virginia, 20151, United States
CHANTILLY, VA 201511647
Phone: (770) 313-8840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,579.
Total Amount is formed as General ($1,579) + Research ($0) + Ownership ($0) = $1,579.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($572).
Total Amount
$1,579
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,579
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $572 |
| Otsuka America Pharmaceutical, Inc. | $307 |
| Janssen Pharmaceuticals, Inc | $284 |
| Indivior Inc. | $216 |
| ITI, Inc. | $107 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191210001917 | I | Nurse Practitioner | GA | TBD |
| I20250721001666 | I | Nurse Practitioner | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30168)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | GA | |
| Mental Health Counselor | RI | |
| Mental Health Counselor | GA | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | MI | |
| Mental Health Counselor | OK | |
| Clinical Social Worker | GA |
Reviews
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