DEVONDRA NOLAN LPC
NPI 1023552494
Counselor - Professional in Marietta, GA
About Devondra Nolan Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVONDRA NOLAN LPC (NPI 1023552494) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC010813) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Devondra Nolan Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Devondra Nolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Duluth, GA 30096
- Reassigned Medicare billing, Georgia enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Devondra Nolan's NPI number?
The NPI number for Devondra Nolan is 1023552494. It was assigned to this individual provider in the NPPES registry on December 5, 2016.
Where is Devondra Nolan located?
Devondra Nolan practices at 1650 County Services Pkwy SW Ste 2000, Marietta, GA 30008. The listed phone number is (770) 514-2464.
What is Devondra Nolan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Devondra Nolan enrolled in Medicare?
Yes. Devondra Nolan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Devondra Nolan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Devondra Nolan reassigns Medicare benefits to Positive Impact Health Centers Inc (Duluth, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Devondra Nolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Devondra Nolan was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Devondra Nolan, LPC · NPI 1023552494
Professional provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since December 5, 2016.
## Identity
- **NPI:** 1023552494 (Entity type: Individual)
- **Enumerated:** December 5, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC010813 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 COUNTY SERVICES PKWY SW STE 2000, Marietta, GA 30008-4010
- **Phone:** (770) 514-2464 · **Fax:** (770) 514-2806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Positive Impact Health Centers Inc (NPI 1790861995, Duluth, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1023552494) · Data from the CMS NPPES public registry.