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KARINA TAN LYDIA PMHNP
NPI 1831659317
Nurse Practitioner - Psychiatric/Mental Health in Duluth, GA

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
2055 SUGARLOAF CIR STE 575, DULUTH, GA 30097(404) 999-7971(678) 534-2045 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 2, 2020, Mar 21, 2019 (2 updates tracked since 2019).

About Karina Tan Lydia Pmhnp NPPES

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

KARINA TAN LYDIA PMHNP (NPI 1831659317) is an individual psychiatric/mental health provider in Duluth, Georgia, licensed in Georgia (APRN-NP242953) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2020).

NPPES Registry Identity

NPI1831659317
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKARINA TAN LYDIACredential: PMHNP
Location Address2055 SUGARLOAF CIR STE 575Duluth, GA 30097-9804
Mailing Address2055 Sugarloaf Cir Ste 575Duluth, GA 30097-9804 · (404) 999-7971 · Fax (678) 534-2045
Phone(404) 999-7971
Fax(678) 534-2045
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2020
Enumeration DateMarch 21, 2019
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1831659317 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 GA · APRN-NP242953
Also ListedRegistered NurseTaxonomy 163W00000X · License RN242953 (GA)
2055 SUGARLOAF CIR STE 575, Duluth, GA 30097
Open in Google Maps ↗

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

Karina Tan Lydia 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 ID2769899483
PECOS Enrollment IDI20210325000532
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 9

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

WILLIAM G MCLEOD LPC, NCAC-II
Counselor (Professional)
2055 SUGARLOAF CIR STE 575
DULUTH, GA 30097
Gwinnett County (404) 999-7971
KELLI MARIA GORDY LPC
Counselor (Professional)
2055 SUGARLOAF CIR STE 575
DULUTH, GA 30097
Gwinnett County (404) 999-7971
MR. DAVE MOORTHY LPC
Counselor (Professional)
2055 SUGARLOAF CIR STE 575
DULUTH, GA 30097
Gwinnett County (404) 999-7971
OMONIYI FATAI MUTIU PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2055 SUGARLOAF CIR STE 575
DULUTH, GA 30097
Gwinnett County (404) 999-7971
CHINYERE OLIVIA OKONKWO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2055 SUGARLOAF CIR STE 575
DULUTH, GA 30097
Gwinnett County (404) 999-7971
MR. STANLEY M DORELIEN LPC
Counselor (Professional)
2055 SUGARLOAF CIR STE 575
DULUTH, GA 30097
Gwinnett County (404) 999-7971
KATHLEEN NOEL SEWELL LPC
Counselor (Professional)
2055 SUGARLOAF CIR STE 575
DULUTH, GA 30097
Gwinnett County (404) 999-7971
MS. ABIGAIL TAYLOR KREISINGER APC, MS, NCC
Counselor (Professional)
2055 SUGARLOAF CIR STE 575
DULUTH, GA 30097
Gwinnett County (770) 389-8100

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 Karina Lydia's NPI number?

The NPI number for Karina Lydia is 1831659317. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Karina Lydia located?

Karina Lydia practices at 2055 Sugarloaf Cir Ste 575, Duluth, GA 30097. The listed phone number is (404) 999-7971.

What is Karina Lydia's specialty?

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

Is Karina Lydia enrolled in Medicare?

Yes. Karina Lydia 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 Karina Lydia was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.