ROSELINE UMENYIORA (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245856194

ROSELINE UMENYIORA (RN) is a healthcare provider. based in Roswell, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. PHCP010678 (GA). The NPI Number for ROSELINE UMENYIORA (RN) is 1245856194

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ROSELINE UMENYIORA (RN)
NPI
1245856194
Phone
(678) 702-2488
Address
7007 LEXINGTON DR
Enumeration Date
17 June 2020
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702340981
Graduation Year
2022 (4 years ago)
PAC ID
3678096765
Group Practice PAC ID
6305949090
Professional Enrollment ID
I20250826000636
Address ID
GA303502923AT1140XTRLX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for ROSELINE UMENYIORA (RN)

  • 7007 LEXINGTON DR

    ROSWELL, GA 300755871

    Phone: (678) 702-2488

    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 9 Open Payments records for all available years, with a total value of $892.

Total Amount is formed as General ($892) + Research ($0) + Ownership ($0) = $892.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($272).

Total Amount

$892

General + Research + Ownership

Payments

9

Total payment records

General Amount

$892

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

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: 2025-08-26

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
I20250826000636INurse 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 30075)

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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: 6305949090View full group profile
NameSpecialtyState
Physician AssistantGA
Mental Health CounselorGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Mental Health CounselorGA
Nurse PractitionerGA
P S Y C H I A T R YGA

Reviews

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Frequently asked questions

What number should I use to identify ROSELINE UMENYIORA (RN) for billing?
Administrative and clinical systems typically use NPI 1245856194 for ROSELINE UMENYIORA (RN).
Should I treat ROSELINE UMENYIORA (RN) as an active provider?
Patients and plans typically see ROSELINE UMENYIORA (RN) as active in the national extract.
What services align with ROSELINE UMENYIORA (RN)'s listing?
ROSELINE UMENYIORA (RN)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit ROSELINE UMENYIORA (RN) in Roswell, Georgia?
For routing, start with Roswell, Georgia for ROSELINE UMENYIORA (RN), then verify phone and hours locally.
Why is information missing for ROSELINE UMENYIORA (RN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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