Nicollette Louise Black-Ballard, PMHNP
NPI 1083439541ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Norcross, GA
Nurse Practitioner, Psych/Mental Health (PMHNP) in Norcross, Georgia, licensed in GA, with an NPI issued in November 2024. Enrolled in Medicare as order and referring only - psychiatry. Teva Pharmaceuticals USA, Inc. reported $100.30 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1083439541 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Nov 20, 2024 |
| Last updated in NPPES | Jan 9, 2025 |
| Certified by provider | Jan 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 290443 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Psychiatry (GA) |
|---|
Industry payments (Open Payments)
- 2025$100.30 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | $100.30 | 1 |
What the 2025 payments were for
- Food and Beverage$100.30 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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