U-FIRST HEALTHCARE LLC – Psychiatric/Mental Health Nurse Practitioner, NPI 1205375862
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for U-FIRST HEALTHCARE LLC
4228 1ST AVE STE 1
TUCKER, GA 300844426
Phone: (833) 583-4778
Fax: (833) 583-4779
Type: Mailing
1317 Edgewater Dr # 1047
Orlando, FL 328046350
Phone: (833) 583-4778
Type: Location
3601 W Commercial Blvd Ste 15
Fort Lauderdale, FL 333093320
Phone: (833) 583-4778
Type: Location
105 Mall Way
Suite 1008
Marysville, WA 98270
Phone: (833) 583-4778
Fax: (833) 583-4779
Type: Location
2208 Hanfred Ln Ste 101-32
Tucker, GA 300844810
Phone: (833) 583-4778
Type: Location
367 Resource Parkway
Winder, GA 30680
Phone: (833) 583-4778
Type: Location
332, Boulevard Northeast, Atlanta, Fulton County, Georgia, 30312, United States
ATLANTA, GA 303121221
Phone: (678) 908-0006
Type: Mailing
2108, New London Place, Snellville, Gwinnett County, Georgia, 30078, United States
SNELLVILLE, GA 300783027
Phone: (678) 908-0006
Type: Location
1479 BROCKETT RD STE 101
TUCKER, GA 300847326
Phone: (833) 645-4653
Fax: (866) 892-3005
Type: Mailing
105 MALL WAY
SUITE 1008
MARYSVILLE, WA 98270
Phone: (833) 583-4778
Fax: (833) 583-4779
Type: Location
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: 2023-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (830 days ago).
Enrollment records
3
Earliest due date
2024-02-29
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 |
|---|---|---|---|---|
| O20170619000960 | O | Clinic/Group Practice | GA | 2024-02-29 |
| O20211122003117 | O | Clinic/Group Practice | WA | TBD |
| O20230915001151 | O | Clinic/Group Practice | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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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