JOSE QUEZADA
NPI 1487411195
Nurse Practitioner - Psychiatric/Mental Health in Suwanee, GA
About Jose Quezada NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE QUEZADA (NPI 1487411195) is an individual psychiatric/mental health provider in Suwanee, Georgia, licensed in Georgia (RN292069) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jose Quezada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jose Quezada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Suwanee, GA 30024
- Reassigned Medicare billing, Georgia enrollment
- 96 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUWANEE, GA 30024
SUWANEE, GA 30024
SUWANEE, GA 30024
SUWANEE, GA 30024
SUWANEE, GA 30024
SUWANEE, GA 30024
SUWANEE, GA 30024
SUWANEE, GA 30024
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 Jose Quezada's NPI number?
The NPI number for Jose Quezada is 1487411195. It was assigned to this individual provider in the NPPES registry on February 29, 2024. The provider is also known as Mr. Jose D Quezada Rn.
Where is Jose Quezada located?
Jose Quezada practices at 1325 Satellite Blvd NW Ste 400, Suwanee, GA 30024. The listed phone number is (263) 678-2633.
What is Jose Quezada's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jose Quezada enrolled in Medicare?
Yes. Jose Quezada is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jose Quezada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Quezada reassigns Medicare benefits to Psychiatric Professionals Of Georgia, LLC (Suwanee, GA). The 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 Jose Quezada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jose Quezada was last updated on May 22, 2024. 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.
# Jose Quezada · NPI 1487411195
Psychiatric/Mental Health physician in Suwanee, Georgia. Individual provider, active in the CMS NPPES registry since February 29, 2024.
## Identity
- **NPI:** 1487411195 (Entity type: Individual)
- **Enumerated:** February 29, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN292069 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1325 SATELLITE BLVD NW STE 400, Suwanee, GA 30024-5299
- **Phone:** (263) 678-2633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Psychiatric Professionals Of Georgia, LLC (NPI 1396277968, Suwanee, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1487411195) · Data from the CMS NPPES public registry.