Individual provider Active NPI

Mark Eugene House, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1578440582
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN291628 Issued in GA
Practice address
2248 Broadway Ste 1177
New York, NY 10024-5805
Phone
(678) 923-8588
NPI assigned
Aug 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407597 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN291628 GA Primary

Addresses

Primary practice location

2248 Broadway Ste 1177
New York, NY 10024-5805

Mailing address

PO Box 87208
College Park, GA 30337-0208
Phone (678) 923-8588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 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
I20251110003690 NY Practitioner - Nurse Practitioner 0143710897 Reassigns benefits to 3 organizations
I20260319003600 GA Practitioner - Nurse Practitioner 0143710897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpatient Consultants of Georgia, IncGroup PAC ID 2264539618, 13 clinicians

Practice addresses (Care Compare)

93 Hwy 19
Lumber City, GA 31549-2556
Phone (912) 363-2484

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN291628GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Nov 10, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Nov 10, 2025 Accepting new patients
New York General Medical Services PC CurrentSince Nov 10, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Mar 1, 2026 Accepting new patients
Inpatient Consultants of Georgia, Inc CurrentSince Mar 1, 2026 Accepting new patients

Locations

6698 Washington Rd
Appling, GA 30802
Phone (706) 541-0462

93 Highway 19
Lumber City, GA 31549
Phone (912) 363-2484

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1578440582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87208",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303370208",
            "telephone_number": "678-923-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 BROADWAY STE 1177",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245805",
            "telephone_number": "678-923-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "MARK",
        "middle_name": "EUGENE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407597",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN291628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.