BRENDON PAUL (APRN, PMHNP-BC) – Registered Nurse, NPI 1922437896
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for BRENDON PAUL (APRN, PMHNP-BC)
1479 BROCKETT RD STE 101
TUCKER, GA 300847326
Phone: (404) 625-5427
Fax: (404) 508-8944
Type: Location
1104 CLUB PKWY
NORCROSS, GA 300935243
Phone: (347) 693-0273
Type: Mailing
175 GWINNETT DR
LAWRENCEVILLE, GA 300468444
Phone: (678) 209-2394
Fax: (678) 212-6350
Type: Location
175 Gwinnett Dr
Lawrenceville, GA 300468444
Phone: (678) 209-2394
Fax: (678) 212-6350
Type: Location
4771 BRITT RD STE G4932006
NORCROSS, GA 300032284
Phone: (404) 919-0142
Type: Location
4771 BRITT RD # G4932006
NORCROSS, GA 300032284
Phone: (404) 919-0142
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $691.
Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($219).
Total Amount
$691
General + Research + Ownership
Payments
13
Total payment records
General Amount
$691
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
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: 2024-08-22
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 |
|---|---|---|---|---|
| I20240822003624 | I | Nurse Practitioner | GA | 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 30084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | GA | |
| Mental Health Counselor | MD | |
| - | GA | |
| - | GA | |
| Mental Health Counselor | GA | |
| - | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | GA |
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