Nicollette Black-Ballard, PMHNP
NPI 1083439541 · Psychiatric/Mental Health Nurse Practitioner · Norcross, GA
Enrolled with Medicare as Order and Referring Only - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicollette Black-Ballard, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Norcross, GA (NPI 1083439541).
Provider details
- NPI number
- 1083439541
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 290443 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-20
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Frequently asked questions
- What is Nicollette Black-Ballard's NPI number?
- Nicollette Black-Ballard's National Provider Identifier (NPI) is 1083439541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicollette Black-Ballard's specialty?
- Nicollette Black-Ballard is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicollette Black-Ballard located?
- Nicollette Black-Ballard's practice location on file with NPPES is 5127 Jimmy Carter Blvd Ste 205, Norcross, GA 30093-1619.
- What is Nicollette Black-Ballard's phone number?
- The practice phone number listed in the NPPES registry for Nicollette Black-Ballard is (404) 688-1350.
- Does Nicollette Black-Ballard accept Medicare?
- Nicollette Black-Ballard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicollette Black-Ballard's NPI active?
- Yes — Nicollette Black-Ballard's NPI (1083439541) is active in the NPPES registry as of the last update on 2025-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.