EPTESAM SUFIYAN PMHNP-BC
NPI 1184358079
Nurse Practitioner - Psychiatric/Mental Health in Snellville, GA

Active since July 15, 2022PECOS EnrolledAccepts Medicare Assignment
1700 MEDICAL WAY, SNELLVILLE, GA 30078(478) 464-8134 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2023, Jul 15, 2022 (2 updates tracked since 2022).

About Eptesam Sufiyan Pmhnp-bc NPPES

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

EPTESAM SUFIYAN PMHNP-BC (NPI 1184358079) is an individual psychiatric/mental health provider in Snellville, Georgia, licensed in Georgia (RN287246) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Piedmont Eastside Medical Center, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1184358079
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEPTESAM SUFIYANCredential: PMHNP-BC
Location Address1700 MEDICAL WAYSnellville, GA 30078-2195
Mailing Address46 Darcee CtLawrenceville, GA 30046-7401
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 15, 2022
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1184358079 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 · RN287246
1700 MEDICAL WAY, Snellville, GA 30078

Secondary Practice Location 1

Location 146 Darcee CtLawrenceville, GA 30046-7401 · Phone (770) 875-4495

Accepted Insurance

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

Eptesam Sufiyan Pmhnp-bc 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 ID5597128975
PECOS Enrollment IDI20230901000288
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
116 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Anesthesiologist Assistant
1700 MEDICAL WAY, ANESTHESIA DEPT
SNELLVILLE, GA 30078
Physician Assistant (Medical)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Anesthesiologist Assistant
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Emergency Medicine
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Radiology (Diagnostic Radiology)
1700 MEDICAL WAY
SNELLVILLE, GA 30078

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 Eptesam Sufiyan's NPI number?

The NPI number for Eptesam Sufiyan is 1184358079. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Eptesam Sufiyan located?

Eptesam Sufiyan practices at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (478) 464-8134.

What is Eptesam Sufiyan's specialty?

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

Is Eptesam Sufiyan enrolled in Medicare?

Yes. Eptesam Sufiyan 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.

What insurance does Eptesam Sufiyan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eptesam Sufiyan 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.

Is Eptesam Sufiyan affiliated with any hospitals?

According to CMS data, Eptesam Sufiyan is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Eptesam Sufiyan was last updated on October 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.