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MANDIP MEDIPSYCH HEALTH SERVICES
NPI 1396639480
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA

Active since June 04, 2025
850 DOGWOOD RD, LAWRENCEVILLE, GA 30044(470) 854-8533(470) 690-2310 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mandip Medipsych Health Services NPPES

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

MANDIP MEDIPSYCH HEALTH SERVICES (NPI 1396639480) is a healthcare organization registered as a psychiatric/mental health in Lawrenceville, Georgia and active in the NPI registry since June 2025. The organization lists Judith Mandip Egbe, Owner / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1396639480
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMANDIP MEDIPSYCH HEALTH SERVICES
Location Address850 DOGWOOD RDLawrenceville, GA 30044-7218
Mailing Address3042 Hollowstone DrLoganville, GA 30052-6222 · (470) 854-8533 · Fax (470) 690-2310
Phone(470) 854-8533
Fax(470) 690-2310
Organization SubpartNo
Authorized OfficialJudith Mandip EgbeOwner / Authorized Official · (470) 854-8533
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1396639480 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
850 DOGWOOD RD, Lawrenceville, GA 30044
Open in Google Maps ↗

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)

Mandip Medipsych Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mandip Medipsych Health Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Judith Egbe
Nurse Practitioner
NPI 1588075212
5710 SUGARLOAF PKWY
Lawrenceville, GA 30043
(866) 389-2727
✔ PECOS✔ Accepts Medicare6.0 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 Mandip Medipsych Health Services's NPI number?

The NPI number for Mandip Medipsych Health Services is 1396639480. It was assigned to this organization in the NPPES registry on June 4, 2025.

Where is Mandip Medipsych Health Services located?

Mandip Medipsych Health Services is located at 850 Dogwood Rd, Lawrenceville, GA 30044. The listed phone number is (470) 854-8533.

What is Mandip Medipsych Health Services's specialty?

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

Is Mandip Medipsych Health Services enrolled in Medicare?

Yes. Mandip Medipsych Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mandip Medipsych Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mandip Medipsych Health Services. 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 Mandip Medipsych Health Services was last updated on June 4, 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.