ABLAVI AGOMESSOU APRN
NPI 1164885778
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA
About Ablavi Agomessou Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABLAVI AGOMESSOU APRN (NPI 1164885778) is an individual psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (42127) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ablavi Agomessou Aprn 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ablavi Agomessou reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tucker, GA 30084
- Reassigned Medicare billing, Georgia enrollment
- 60 clinicians in this Medicare group
Winder, GA 30680
- Reassigned Medicare billing, Georgia and New York enrollments
- 2 clinicians in this Medicare group
Covington, GA 30014
- Reassigned Medicare billing, Georgia enrollment
- 81 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 92 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ablavi Agomessou's NPI number?
The NPI number for Ablavi Agomessou is 1164885778. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Ablavi Agomessou located?
Ablavi Agomessou practices at 881 Ivydale Ln, Lawrenceville, GA 30045. The listed phone number is (404) 819-8701.
What is Ablavi Agomessou's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ablavi Agomessou enrolled in Medicare?
Yes. Ablavi Agomessou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ablavi Agomessou's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ablavi Agomessou reassigns Medicare benefits to 4 organizations: Vision Medical Consulting, P.C. (Tucker, GA), Ivydale Wellness Center LLC (Winder, GA), Anemonefish Inpatient Services LLC (Covington, GA) and Lifesource Of North Carolina (Rome, GA). Each 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 Ablavi Agomessou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ablavi Agomessou accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Ablavi Agomessou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ablavi Agomessou was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ablavi Agomessou, APRN · NPI 1164885778
Psychiatric/Mental Health physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1164885778 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 42127 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 881 IVYDALE LN, Lawrenceville, GA 30045-7818
- **Phone:** (404) 819-8701
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Vision Medical Consulting, P.C. (NPI 1073562922, Tucker, GA); Ivydale Wellness Center LLC (NPI 1659919066, Winder, GA); Anemonefish Inpatient Services LLC (NPI 1033514716, Covington, GA); Lifesource Of North Carolina (NPI 1962940817, Rome, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164885778) · Data from the CMS NPPES public registry.