MRS. MATACHI MARTHA UGHWANOGHO (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639677529

MRS. MATACHI MARTHA UGHWANOGHO (PMHNP) is a healthcare provider. based in Grayson, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN193606 (GA). The NPI Number for MRS. MATACHI MARTHA UGHWANOGHO (PMHNP) is 1639677529

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MATACHI MARTHA UGHWANOGHO (PMHNP)
NPI
1639677529
Phone
(404) 246-1850
Address
1999 GREENFERN CT
Enumeration Date
25 January 2018
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4782389344
Graduation Year
2017 (9 years ago)
PAC ID
0042546152
Group Practice PAC ID
5092611384
Professional Enrollment ID
I20190726002913
Address ID
GA312105791MA6055XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MRS. MATACHI MARTHA UGHWANOGHO (PMHNP)

  • 1999 GREENFERN CT

    GRAYSON, GA 300174337

    Phone: (404) 246-1850

    Type: Mailing

  • 3991 HIGHWAY 78 W STE 203

    SNELLVILLE, GA 300393929

    Phone: (770) 978-9393

    Fax: (770) 978-9324

    Type: Mailing

  • 2301 HENRY CLOWER BLVD STE A

    SNELLVILLE, GA 300783152

    Phone: (770) 978-9393

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($123).

Total Amount

$360

General + Research + Ownership

Payments

4

Total payment records

General Amount

$360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

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: 2019-07-26

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
I20190726002913INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8124$0
90833Psychotherapy with evaluation and management visit, 30 minutes7723$0
View full utilization report →

Insurance plans in this area (ZIP 30017)

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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: 5092611384View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerFL
-GA
-GA
Clinical PsychologistGA
Nurse PractitionerGA
Clinical PsychologistGA
Marriage And Family TherapistGA
P S Y C H I A T R YGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

Is MRS. MATACHI MARTHA UGHWANOGHO (PMHNP) listed with a National Provider Identifier?
Yes — MRS. MATACHI MARTHA UGHWANOGHO (PMHNP) has NPI 1639677529 on file in the registry.
Is MRS. MATACHI MARTHA UGHWANOGHO (PMHNP) shown as active in public data?
Registry records indicate MRS. MATACHI MARTHA UGHWANOGHO (PMHNP) maintains an active NPI.
How would a patient describe MRS. MATACHI MARTHA UGHWANOGHO (PMHNP)'s focus?
For MRS. MATACHI MARTHA UGHWANOGHO (PMHNP), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. MATACHI MARTHA UGHWANOGHO (PMHNP)?
Travel planning: use Grayson, Georgia as the reference point for MRS. MATACHI MARTHA UGHWANOGHO (PMHNP), then confirm.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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