CHARLES PEGUY GUILLAUME PMHNP
NPI 1114322419
Nurse Practitioner - Psychiatric/Mental Health in Snellville, GA

Q: What is Charles Guillaume's NPI number?

The NPI number for Charles Guillaume is 1114322419. It was assigned to this individual provider in the NPPES registry on October 29, 2014.

Q: What is Charles Guillaume's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Charles Guillaume was last updated on October 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 29, 2014PECOS EnrolledAccepts Medicare Assignment

3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039(770) 978-9393(770) 978-9324 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2021, Oct 12, 2021, Jan 6, 2020 and 1 more (4 updates tracked since 2016).

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About Charles Peguy Guillaume Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES PEGUY GUILLAUME PMHNP (NPI 1114322419) is an individual psychiatric/mental health provider in Snellville, Georgia, licensed in Georgia (APRN-NP180218) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114322419

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCHARLES PEGUY GUILLAUMECredential: PMHNP

Location Address3991 HIGHWAY 78 W STE 203Snellville, GA 30039-3929

Mailing Address3991 Highway 78 W Ste 203Snellville, GA 30039-3929 · (770) 978-9393 · Fax (770) 978-9324

Phone(770) 978-9393

Fax(770) 978-9324

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 29, 2014

Last NPPES UpdateOctober 23, 20254 updates tracked since enumeration

NPPES CertifiedOctober 23, 2025

✔ NPI 1114322419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · APRN-NP180218

Also ListedRegistered NurseTaxonomy 163W00000X · License RN180218 (GA)

3991 HIGHWAY 78 W STE 203, Snellville, GA 30039

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Peguy Guillaume Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981996378

PECOS Enrollment IDI20160705001421

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

223 services65 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

215 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN NGUYEN GRAY PA-C

Physician Assistant