MRS. FATOUMATA DIALLO PMHNP
NPI 1336763176
Nurse Practitioner - Psychiatric/Mental Health in Gastonia, NC

Q: What is Fatoumata Diallo's NPI number?

The NPI number for Fatoumata Diallo is 1336763176. It was assigned to this individual provider in the NPPES registry on June 7, 2020.

Q: What is Fatoumata Diallo'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 Fatoumata Diallo was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 07, 2020PECOS EnrolledAccepts Medicare Assignment

1337 E GARRISON BLVD, GASTONIA, NC 28054(704) 865-3848(919) 933-6881 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Jul 24, 2023, Jul 24, 2020 and 1 more (4 updates tracked since 2020).

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About Mrs. Fatoumata Diallo Pmhnp NPPES

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

MRS. FATOUMATA DIALLO PMHNP (NPI 1336763176) is an individual psychiatric/mental health provider in Gastonia, North Carolina, licensed in North Carolina (5013368) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336763176

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. FATOUMATA DIALLOCredential: PMHNP

Location Address1337 E GARRISON BLVDGastonia, NC 28054-5127

Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 865-3848 · Fax (704) 854-3086

Phone(704) 865-3848

Fax(919) 933-6881

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 7, 2020

Last NPPES UpdateSeptember 5, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1336763176 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 NC · 5013368

Also ListedNurse PractitionerTaxonomy 363L00000X · License 217208 (NC), 5013368 (NC)

1337 E GARRISON BLVD, Gastonia, NC 28054

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Secondary Practice Location 1

Location 13545 Whitehall Park DrCharlotte, NC 28273-4180 · Phone (336) 277-7080

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Mrs. Fatoumata Diallo 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 ID3971929696

PECOS Enrollment IDI20200812001809

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

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.76 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$67.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

IEACHIA T. MORRIS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)