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TEWODROS NEGASSA
NPI 1124820071
Nurse Practitioner - Psychiatric/Mental Health in Snellville, GA

Active since March 24, 2025PECOS Enrolled
4440 RIDERS RIDGE TRL, SNELLVILLE, GA 30039(404) 482-8537 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tewodros Negassa NPPES

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

TEWODROS NEGASSA (NPI 1124820071) is an individual psychiatric/mental health provider in Snellville, Georgia, licensed in Georgia (RN288423) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124820071
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTEWODROS NEGASSA
Location Address4440 RIDERS RIDGE TRLSnellville, GA 30039-8580
Mailing Address4440 Riders Ridge TrlSnellville, GA 30039-8580 · (404) 482-8537
Phone(404) 482-8537
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1124820071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN288423
4440 RIDERS RIDGE TRL, 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 (PECOS)

Tewodros Negassa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537649587
PECOS Enrollment IDI20260218000249
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.

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.

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 Tewodros Negassa's NPI number?

The NPI number for Tewodros Negassa is 1124820071. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Tewodros Negassa located?

Tewodros Negassa practices at 4440 Riders Ridge Trl, Snellville, GA 30039. The listed phone number is (404) 482-8537.

What is Tewodros Negassa's specialty?

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

Is Tewodros Negassa enrolled in Medicare?

Yes. Tewodros Negassa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tewodros Negassa was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.