COREHEALTHPSYCH
NPI 1194437830
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since December 14, 2022
4807 BAYONNE AVE APT C, BALTIMORE, MD 21206(866) 932-7654(470) 826-1824 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Dec 14, 2022 (2 updates tracked since 2022).

About Corehealthpsych NPPES

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

COREHEALTHPSYCH (NPI 1194437830) is a healthcare organization registered as a psychiatric/mental health in Baltimore, Maryland and active in the NPI registry since December 2022. The organization maintains 2 additional practice locations and lists Augusta Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1194437830
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOREHEALTHPSYCH
Location Address4807 BAYONNE AVE APT CBaltimore, MD 21206-7622
Mailing Address2131 Kingston Ct Se Ste 112Marietta, GA 30067-8929 · (866) 932-7654
Fax(470) 826-1824
Organization SubpartNo
Authorized OfficialAugusta WilliamsOwner · (866) 932-7654
Enumeration DateDecember 14, 2022
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1194437830 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
4807 BAYONNE AVE APT C, Baltimore, MD 21206

Secondary Practice Locations 2

Location 1205 Sherwood RdJacksonville, NC 28540-5534 · Phone (866) 732-7654 · Fax (470) 826-1824
Location 22131 Kingston Ct SE Ste 112Marietta, GA 30067-8929 · Phone (866) 932-7654

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Corehealthpsych, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1407402910
ATTN: AUGUSTA WILLIAMS 2131 KINGSTON COURT SUITE 108
Marietta, GA 30067
(678) 772-7415
✔ PECOS✔ Accepts Medicare577 mi
Nurse Practitioner
NPI 1568239424
4501 COLUMBUS CIR
Acworth, GA 30101
(404) 454-8111
✔ PECOS579 mi

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 Corehealthpsych's NPI number?

The NPI number for Corehealthpsych is 1194437830. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Corehealthpsych located?

Corehealthpsych is located at 4807 Bayonne Ave Apt C, Baltimore, MD 21206. The listed phone number is (866) 932-7654.

What is Corehealthpsych's specialty?

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

Is Corehealthpsych enrolled in Medicare?

Yes. Corehealthpsych is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Corehealthpsych?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Corehealthpsych. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Corehealthpsych was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.