CHARLES PEGUY GUILLAUME (PMHNP) – Adult Health Nurse Practitioner, NPI 1114322419
Adult Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for CHARLES PEGUY GUILLAUME (PMHNP)
1637 ATHENS HWY
GRAYSON, GA 300171768
Phone: (678) 254-0917
Fax: (888) 627-6444
Type: Mailing
500 PLANTATION PARK DR
LOGANVILLE, GA 300524144
Phone: (678) 344-8268
Fax: (888) 627-6444
Type: Location
3991 HIGHWAY 78 W STE 203
SNELLVILLE, GA 300393929
Phone: (770) 978-9393
Fax: (770) 978-9324
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-07-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20160705001421 | I | Nurse Practitioner | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 254 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 235 | 64 | $0 |
Insurance plans in this area (ZIP 30017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| - | GA | |
| - | GA | |
| Clinical Psychologist | GA | |
| Nurse Practitioner | GA | |
| Clinical Psychologist | GA | |
| Marriage And Family Therapist | GA | |
| P S Y C H I A T R Y | GA |
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