AJU VARGHESE ALEX (PMNHP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215490693

AJU VARGHESE ALEX (PMNHP-BC) is a healthcare provider. based in Pooler, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMNHP-BC. They hold a License No. 1067319 (TX). The NPI Number for AJU VARGHESE ALEX (PMNHP-BC) is 1215490693

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AJU VARGHESE ALEX (PMNHP-BC)
NPI
1215490693
Phone
(912) 254-4401
Address
6 HOLMES CT
Enumeration Date
11 April 2019
Last Update Date
18 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8448248775
Graduation Year
2018 (8 years ago)
PAC ID
7012250871
Group Practice PAC ID
4486794906
Professional Enrollment ID
I20220609000358
Address ID
TX773393962KI23051DRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for AJU VARGHESE ALEX (PMNHP-BC)

  • Holmes Court, Pooler, Chatham County, Georgia, 31322, United States

    POOLER, GA 313224809

    Phone: (912) 254-4401

    Type: Location

  • 268, Willow Point Circle, Savannah, Chatham County, Georgia, 31322, United States

    SAVANNAH, GA 314073926

    Phone:

    Type: Mailing

  • 41870 Garstin Dr

    Big Bear Lake, CA 923152088

    Phone: (909) 866-6501

    Type: Location

  • 151 STAGECOACH TRL STE 220

    SAN MARCOS, TX 786663863

    Phone:

    Type: Mailing

  • 3318 ASHLEAF DR

    CARROLLTON, TX 750072722

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

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: 2022-06-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191221000005INurse PractitionerGATBD
I20220609000358INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4211$0
View full utilization report →

Insurance plans in this area (ZIP 31322)

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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: 4486794906View full group profile
NameSpecialtyState
Clinical Social WorkerTX
P S Y C H I A T R YNY
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Clinical PsychologistTX
Nurse PractitionerMO
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for AJU VARGHESE ALEX (PMNHP-BC) in U.S. healthcare records?
The official identifier for AJU VARGHESE ALEX (PMNHP-BC) is NPI 1215490693.
Is AJU VARGHESE ALEX (PMNHP-BC) still an active registrant?
AJU VARGHESE ALEX (PMNHP-BC) carries an active NPI according to the public dataset.
What area of care is associated with AJU VARGHESE ALEX (PMNHP-BC)?
AJU VARGHESE ALEX (PMNHP-BC)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AJU VARGHESE ALEX (PMNHP-BC)?
Travel planning: use Pooler, Georgia as the reference point for AJU VARGHESE ALEX (PMNHP-BC), then confirm.
When was this NPI issued?
Enumeration for AJU VARGHESE ALEX (PMNHP-BC) is noted as April 11, 2019 where the registry provides it.