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DENISE RENEE DURHAM MSN, PMHNP-BC
NPI 1720790538
Nurse Practitioner - Psychiatric/Mental Health in Watkinsville, GA

Active since December 23, 2022PECOS EnrolledAccepts Medicare Assignment
3651 MARS HILL RD STE 3400, WATKINSVILLE, GA 30677(786) 726-2227(706) 203-4640 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2023, Dec 23, 2022 (2 updates tracked since 2022).

About Denise Renee Durham Msn, Pmhnp-bc NPPES

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

DENISE RENEE DURHAM MSN, PMHNP-BC (NPI 1720790538) is an individual psychiatric/mental health provider in Watkinsville, Georgia, licensed in Georgia (RN272923) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720790538
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDENISE RENEE DURHAMCredential: MSN, PMHNP-BC
Location Address3651 MARS HILL RD STE 3400Watkinsville, GA 30677-1104
Mailing Address3651 Mars Hill Rd Ste 3400Watkinsville, GA 30677-1104 · (786) 726-2227
Phone(786) 726-2227
Fax(706) 203-4640
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 23, 2022
Last NPPES UpdateSeptember 28, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1720790538 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 · RN272923
3651 MARS HILL RD STE 3400, Watkinsville, GA 30677
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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

Denise Renee Durham Msn, 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 ID4183083702
PECOS Enrollment IDI20230629002728
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 7

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.
125 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
114 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services13 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.
33 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services16 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 3

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

PREMIER HEALTH PARTNERS, LLC
Internal Medicine
3651 MARS HILL RD STE 3400
WATKINSVILLE, GA 30677
Oconee County (706) 502-0503
PREMIER HEALTH & PERFORMANCE
Psychiatry & Neurology (Psychiatry)
3651 MARS HILL RD STE 3400
WATKINSVILLE, GA 30677
Oconee County (678) 726-2227
AMANDA BURGAMY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3651 MARS HILL RD STE 3400
WATKINSVILLE, GA 30677
Oconee County (678) 726-2227

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 Denise Durham's NPI number?

The NPI number for Denise Durham is 1720790538. It was assigned to this individual provider in the NPPES registry on December 23, 2022.

Where is Denise Durham located?

Denise Durham practices at 3651 Mars Hill Rd Ste 3400, Watkinsville, GA 30677. The listed phone number is (786) 726-2227.

What is Denise Durham's specialty?

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

Is Denise Durham enrolled in Medicare?

Yes. Denise Durham 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.

When was this NPI record last updated?

The NPPES record for Denise Durham was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.