GUY-EDGARD FOLLIVI DOLTAIRE PMHNP-BC
NPI 1932940731
Nurse Practitioner - Psychiatric/Mental Health in Gaithersburg, MD

Active since June 05, 2024PECOS Enrolled
18310 MONTGOMERY VILLAGE AVE STE 300, GAITHERSBURG, MD 20879(301) 257-0726 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2024, Jun 5, 2024 (2 updates tracked since 2024).

About Guy-edgard Follivi Doltaire Pmhnp-bc NPPES

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

GUY-EDGARD FOLLIVI DOLTAIRE PMHNP-BC (NPI 1932940731) is an individual psychiatric/mental health provider in Gaithersburg, Maryland, licensed in Maryland (R218458) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932940731
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGUY-EDGARD FOLLIVI DOLTAIRECredential: PMHNP-BC
Location Address18310 MONTGOMERY VILLAGE AVE STE 300Gaithersburg, MD 20879-3552
Mailing Address18310 Montgomery Village Ave Ste 300Gaithersburg, MD 20879-3552 · (301) 257-0726
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 5, 2024
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1932940731 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 MD · R218458
18310 MONTGOMERY VILLAGE AVE STE 300, Gaithersburg, MD 20879

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Guy-edgard Follivi Doltaire Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597246611
PECOS Enrollment IDI20260225004442, I20260505002712
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Guy-edgard Doltaire reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
18310 MONTGOMERY VILLAGE AVE STE 300-1102
Gaithersburg, MD 20879
  • Reassigned Medicare billing, District of Columbia enrollment
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, District of Columbia and Pennsylvania enrollments
  • 143 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 20879 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Nurse Practitioner (Family)
18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG, MD 20879
Naturopath
18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG, MD 20879
Social Worker (Clinical)
18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG, MD 20879
Clinic/Center (Mental Health (Including Community Mental Health Center))
18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG, MD 20879
Dermatology
18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG, MD 20879
Home Health Aide
18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG, MD 20879
Psychologist
18310 MONTGOMERY VILLAGE AVE STE 300
MONTGOMERY VILLAGE, MD 20879
Nurse Practitioner (Family)
18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG, MD 20879

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 Guy-edgard Doltaire's NPI number?

The NPI number for Guy-edgard Doltaire is 1932940731. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Guy-edgard Doltaire located?

Guy-edgard Doltaire practices at 18310 Montgomery Village Ave Ste 300, Gaithersburg, MD 20879. The listed phone number is (301) 257-0726.

What is Guy-edgard Doltaire's specialty?

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

Is Guy-edgard Doltaire enrolled in Medicare?

Yes. Guy-edgard Doltaire is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Guy-edgard Doltaire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guy-edgard Doltaire reassigns Medicare benefits to 2 organizations: Serenity Wellness Center (Gaithersburg, MD) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Guy-edgard Doltaire'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 Guy-edgard Doltaire was last updated on June 19, 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.