STEPHEN MICHAEL SCANLAN (PMHNP) – Psychiatric/Mental Health Registered Nurse, NPI 1144093774

STEPHEN MICHAEL SCANLAN (PMHNP) is a healthcare provider. based in Suwanee, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN216019 (GA). The NPI Number for STEPHEN MICHAEL SCANLAN (PMHNP) is 1144093774

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN MICHAEL SCANLAN (PMHNP)
NPI
1144093774
Phone
(678) 263-3080
Address
1325 SATELLITE BLVD NW STE 400
Enumeration Date
6 November 2023
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6782633080
Graduation Year
2023 (3 years ago)
PAC ID
6002329885
Group Practice PAC ID
2567731482
Professional Enrollment ID
I20250703001656
Address ID
GA300245665SU1325XNWXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for STEPHEN MICHAEL SCANLAN (PMHNP)

  • 1325 SATELLITE BLVD NW STE 400

    SUWANEE, GA 300245299

    Phone: (678) 263-3080

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,028.

Total Amount is formed as General ($1,028) + Research ($0) + Ownership ($0) = $1,028.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($392).

Total Amount

$1,028

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,028

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

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: 2025-07-03

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
I20250703001656INurse 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 30024)

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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: 2567731482View full group profile
NameSpecialtyState
Clinical Social WorkerGA
Clinical Social WorkerGA
Clinical Social WorkerGA
P S Y C H I A T R YGA
P S Y C H I A T R YWA
P S Y C H I A T R YGA
P S Y C H I A T R YLA
P S Y C H I A T R YGA
P S Y C H I A T R YGA
P S Y C H I A T R YGA

Reviews

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Frequently asked questions

How do payers reference STEPHEN MICHAEL SCANLAN (PMHNP)?
For STEPHEN MICHAEL SCANLAN (PMHNP), use NPI 1144093774 as the unique 10-digit identifier.
Is STEPHEN MICHAEL SCANLAN (PMHNP) still an active registrant?
STEPHEN MICHAEL SCANLAN (PMHNP) carries an active NPI according to the public dataset.
What kind of doctor is STEPHEN MICHAEL SCANLAN (PMHNP)?
STEPHEN MICHAEL SCANLAN (PMHNP) is associated with Psychiatric/Mental Health Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHEN MICHAEL SCANLAN (PMHNP)?
Travel planning: use Suwanee, Georgia as the reference point for STEPHEN MICHAEL SCANLAN (PMHNP), then confirm.
Can I trust this NPI listing for STEPHEN MICHAEL SCANLAN (PMHNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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