Individual provider Active NPI

Marie Esther Emmanuel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1457123176
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN336722 Issued in GA
Practice address
227 Scenic Hwy Ste a
Lawrenceville, GA 30046-5649
Phone
(770) 462-5722
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN336722 GA Primary

Addresses

Primary practice location

227 Scenic Hwy Ste a
Lawrenceville, GA 30046-5649

Mailing address

227 Scenic Hwy Ste a
Lawrenceville, GA 30046-5649
Phone (770) 462-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240102000437 FL Practitioner - Nurse Practitioner 8426408535 Reassigns benefits to 1 organization
I20240702000137 MA Practitioner - Nurse Practitioner 8426408535 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029340FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness Healthcare Corp CurrentSince Jan 1, 2024 Accepting new patients
Balanced Wellbeing LLC CurrentSince Jan 1, 2024 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jun 10, 2024 Accepting new patients
Brigham & Womens Hospital, Inc. CurrentSince Jun 10, 2024 Accepting new patients

Locations

165 SW Vision Gln
Lake City, FL 32025
Phone (352) 494-6692

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

75 Francis St
Boston, MA 02115

62 13th St
Charlestown, MA 02129
Phone (617) 724-4260

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

Interoperability endpoints

  • Direct secure messaging: marie.emmanuel.1@25899.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1457123176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SCENIC HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465649",
            "telephone_number": "770-462-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SCENIC HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465649",
            "telephone_number": "770-462-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANUEL",
        "first_name": "MARIE",
        "middle_name": "ESTHER",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN336722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.