MRS. JACKIE KABAHUMA ZZIWA (FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225502768
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 MRS. JACKIE KABAHUMA ZZIWA (FNP-C)
704 Breedlove Dr
Monroe, GA 306552054
Phone: (888) 772-0076
Type: Location
1947 ARBOR CREEK CT
BUFORD, GA 305192280
Phone: (404) 453-2337
Type: Mailing
4072 ATLANTA HIGH WAY
LOGANVILLE, GA 30052
Phone: (706) 621-7575
Fax: (706) 621-7557
Type: Location
321 HICKORY HAVEN TER
SUWANEE, GA 300246413
Phone: (404) 453-2337
Type: Mailing
405 GROVE ST STE 201
WORCESTER, MA 016051270
Phone: (339) 666-8516
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($215).
Total Amount
$287
General + Research + Ownership
Payments
3
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $215 |
| ABBVIE INC. | $72 |
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: 2024-01-09
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 |
|---|---|---|---|---|
| I20240109001671 | I | Nurse Practitioner | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| P S Y C H I A T R Y | CT | |
| P S Y C H I A T R Y | NV | |
| Nurse Practitioner | MA | |
| P S Y C H I A T R Y | MA | |
| P S Y C H I A T R Y | DC | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| P S Y C H I A T R Y | MA | |
| Nurse Practitioner | MA |
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