Nicollette Louise Black-ballard, PMHNP - Nurse Practitioner in Norcross, GA

Nicollette Louise Black-ballard, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Norcross, Georgia. Nicollette Louise Black-ballard is licensed to practice in Georgia (license number 290443) and her current practice location is 5127 Jimmy Carter Blvd Ste 205, Norcross, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 688-1350.

NPI number for Nicollette Louise Black-ballard is 1083439541 and her current mailing address is 2915 Ilir Mnr Nw, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083439541.

Contact Information

Nicollette Louise Black-ballard, PMHNP
5127 Jimmy Carter Blvd Ste 205,
Norcross, GA 30093-1619
(404) 688-1350
Not Available

Map and Direction




Provider's Profile

Full NameNicollette Louise Black-ballard
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5127 Jimmy Carter Blvd Ste 205, Norcross, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083439541
  • Provider Enumeration Date: 11/20/2024
  • Last Update Date: 01/09/2025

Medical Identifiers

Medical identifiers for Nicollette Louise Black-ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083439541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 290443 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicollette Louise Black-ballard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicollette Louise Black-ballard, PMHNP
2915 Ilir Mnr Nw,
Atlanta, GA 30318-2231

Ph: (404) 748-8349
Nicollette Louise Black-ballard, PMHNP
5127 Jimmy Carter Blvd Ste 205,
Norcross, GA 30093-1619

Ph: (404) 688-1350

Reviews and Comments


Nurse Practitioner Nurses in Norcross, GA

Natacha Smith,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4864 Jimmy Carter Blvd Ste 205, Norcross, GA 30093
Phone: 770-676-5763    Fax: 770-676-5723
Kaitlin Wilson, CNM, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5195 Jimmy Carter Blvd, Norcross, GA 30093
Phone: 470-514-5818    
Bijalben Patel, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1235 Indian Trail Rd, Norcross, GA 30093
Phone: 770-931-1333    Fax: 770-931-3111
Lawrence Little Iii, CPNP-AC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6010 Singleton Rd Ste 209, Norcross, GA 30093
Phone: 770-248-0200    
Tong Wang,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 777 W Peachtree St, Norcross, GA 30071
Phone: 770-246-6100    
Lorraine Elizabeth Mcdowell,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5949 Buford Hwy, Norcross, GA 30071
Phone: 678-280-6630    Fax: 678-280-6635
Rebecca Farrell, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093
Phone: 470-275-4911    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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