ABLAVI AGOMESSOU (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164885778
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for ABLAVI AGOMESSOU (APRN)
881 IVYDALE LN
LAWRENCEVILLE, GA 300457818
Phone: (404) 819-8701
Type: Mailing
69 STATE ST STE 1321
ALBANY, NY 122072542
Phone: (770) 762-1053
Type: Location
1345 Redmond Cir NW
Rome, GA 301651307
Phone: (910) 742-9243
Fax: (888) 746-1787
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 125 Open Payments records for all available years, with a total value of $2,390.
Total Amount is formed as General ($2,390) + Research ($0) + Ownership ($0) = $2,390.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($519).
Total Amount
$2,390
General + Research + Ownership
Payments
125
Total payment records
General Amount
$2,390
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2026-02-18
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 |
|---|---|---|---|---|
| I20170131000635 | I | Nurse Practitioner | GA | TBD |
| I20260218001739 | I | Nurse Practitioner | NY | 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 | 342 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 294 | 74 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 91 | 42 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 60 | 13 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 30045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | NC | |
| - | SC | |
| Clinical Social Worker | GA | |
| Nurse Practitioner | NC | |
| - | GA | |
| - | NC | |
| - | CA | |
| - | GA | |
| - | SC |
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