MRS. VIRGINIA ANNETTE BROCK (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1548625114
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MRS. VIRGINIA ANNETTE BROCK (PMHNP)
1022 FOXHOLLOW TRL
CANTON, GA 301154357
Phone:
Type: Mailing
175 GWINNETT DR
LAWRENCEVILLE, GA 300468444
Phone: (678) 209-2394
Fax: (678) 212-6343
Type: Location
23208 LILLISTON AVE
ACCOMAC, VA 23301
Phone: (770) 378-0795
Type: Mailing
19056 GREENBUSH RD
PARKSLEY, VA 23421
Phone: (757) 655-1260
Fax: (757) 665-4015
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,223.
Total Amount is formed as General ($1,223) + Research ($0) + Ownership ($0) = $1,223.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($655).
Total Amount
$1,223
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
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: 2021-09-13
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 |
|---|---|---|---|---|
| I20181025000645 | I | Nurse Practitioner | GA | TBD |
| I20210913002662 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 44 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | VA | |
| - | VA | |
| Clinical Social Worker | VA | |
| Mental Health Counselor | VA | |
| - | VA | |
| - | VA | |
| P S Y C H I A T R Y | VA | |
| Clinical Social Worker | VA | |
| Mental Health Counselor | VA | |
| Nurse Practitioner | VA |
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