JOHN LOUIS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124747357

JOHN LOUIS (PMHNP) is a healthcare provider. based in Martinez, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN283509 (GA). The NPI Number for JOHN LOUIS (PMHNP) is 1124747357

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JOHN LOUIS (PMHNP)
NPI
1124747357
Phone
(706) 951-9216
Address
4110 KNOLLCREST CIR N
Enumeration Date
23 August 2022
Last Update Date
23 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062503902
Graduation Year
2022 (4 years ago)
PAC ID
0042663403
Group Practice PAC ID
4789105172
Professional Enrollment ID
I20240201001912
Address ID
GA309096596AU3665XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for JOHN LOUIS (PMHNP)

  • 4110 KNOLLCREST CIR N

    MARTINEZ, GA 309071635

    Phone: (706) 951-9216

    Type: Mailing

  • 3405 MIKE PADGETT HWY

    AUGUSTA, GA 309063815

    Phone: (706) 792-7021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $411.

Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($112).

Total Amount

$411

General + Research + Ownership

Payments

17

Total payment records

General Amount

$411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240201001912INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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 30907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789105172View full group profile
NameSpecialtyState
Marriage And Family TherapistGA
Mental Health CounselorGA
Nurse PractitionerGA
Mental Health CounselorGA
Nurse PractitionerGA
Mental Health CounselorFL
Mental Health CounselorGA

Reviews

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Frequently asked questions

How is JOHN LOUIS (PMHNP) identified in CMS data?
CMS-hosted NPPES data lists JOHN LOUIS (PMHNP) with NPI 1124747357.
Is JOHN LOUIS (PMHNP) listed as active for patients and plans?
The listing shows JOHN LOUIS (PMHNP) as active in the NPI system.
What healthcare role does JOHN LOUIS (PMHNP) hold?
Scheduling teams often label JOHN LOUIS (PMHNP) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JOHN LOUIS (PMHNP) list a practice location?
Patients near Martinez, Georgia may find JOHN LOUIS (PMHNP) in results; validate coverage separately.
Why does JOHN LOUIS (PMHNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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