SYNITA MEQUINN HUDGINS (PHD) – Forensic Psychologist, NPI 1811285836

SYNITA MEQUINN HUDGINS (PHD) is a healthcare provider. based in Marietta, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 004946 (GA). The NPI Number for SYNITA MEQUINN HUDGINS (PHD) is 1811285836

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SYNITA MEQUINN HUDGINS (PHD)
NPI
1811285836
Phone
(470) 407-3127
Address
55 ATLANTA STREET SE
Enumeration Date
11 July 2011
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4706881649
Graduation Year
2018 (8 years ago)
PAC ID
9133585896
Group Practice PAC ID
4789040445
Professional Enrollment ID
I20230607001701
Address ID
GA300221416AL3010XSXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

483 CLINICAL PSYCHOLOGIST in GA

Provider Addresses for SYNITA MEQUINN HUDGINS (PHD)

  • 55 ATLANTA STREET SE

    MARIETTA, GA 30060

    Phone: (470) 407-3127

    Type: Location

  • 2774 COBB PKWY NW

    SUITE 109, #379

    KENNESAW, GA 30152

    Phone: (470) 407-3127

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-06-07

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
I20230607001701IClinical PsychologistGATBD

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 30060)

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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: 4789040445View full group profile
NameSpecialtyState
Mental Health CounselorGA

Reviews

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Frequently asked questions

Does SYNITA MEQUINN HUDGINS (PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SYNITA MEQUINN HUDGINS (PHD) uses 1811285836.
Can I rely on SYNITA MEQUINN HUDGINS (PHD) being an active provider?
As of the registry snapshot, SYNITA MEQUINN HUDGINS (PHD) is marked active.
What is SYNITA MEQUINN HUDGINS (PHD) best known for clinically?
Directory data describes SYNITA MEQUINN HUDGINS (PHD) with Forensic Psychologist. Clinical services aligned with this taxonomy classification.
Where is SYNITA MEQUINN HUDGINS (PHD) based?
SYNITA MEQUINN HUDGINS (PHD) is tied to Marietta, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about SYNITA MEQUINN HUDGINS (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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