Denise Durham, MSN, PMHNP-BC
NPI 1720790538 · Psychiatric/Mental Health Nurse Practitioner · Watkinsville, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Denise Durham, MSN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Watkinsville, GA (NPI 1720790538).
Provider details
- NPI number
- 1720790538
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN272923 (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 tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
364 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 125 | $63 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 114 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 34 | $102 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 33 | $138 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 25 | $80 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 55 | — |
| Fluoxetine Hcl | 50 | 12 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 48 | — |
| Lamotrigine | 43 | — |
| Lorazepam | 36 | — |
| Clonazepam | 30 | — |
| Aripiprazole | 24 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$29 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-23
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Frequently asked questions
- What is Denise Durham's NPI number?
- Denise Durham's National Provider Identifier (NPI) is 1720790538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Denise Durham's specialty?
- Denise Durham is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Denise Durham located?
- Denise Durham's practice location on file with NPPES is 3651 Mars Hill Rd Ste 3400, Watkinsville, GA 30677-1104.
- What is Denise Durham's phone number?
- The practice phone number listed in the NPPES registry for Denise Durham is (786) 726-2227.
- Does Denise Durham accept Medicare?
- Denise Durham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Denise Durham's NPI active?
- Yes — Denise Durham's NPI (1720790538) is active in the NPPES registry as of the last update on 2023-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.