Individual provider Active NPI

Judith Mandip Egbe

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1588075212
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN187425 Issued in GA
Practice address
5710 Sugarloaf Pkwy
Lawrenceville, GA 30043-7834
Phone
(866) 389-2727
NPI assigned
May 15, 2014
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN187425 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN187425 GA Primary

Addresses

Primary practice location

5710 Sugarloaf Pkwy
Lawrenceville, GA 30043-7834

Mailing address

5710 Sugarloaf Pkwy
Lawrenceville, GA 30043-7834
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KS, CO, DC, AZ, NY6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20140805001531 GA Practitioner - Nurse Practitioner 0749407336 Reassigns benefits to 3 organizations
I20260425000394 KS Practitioner - Nurse Practitioner 0749407336 Reassigns benefits to 1 organization
I20260429004355 CO Practitioner - Nurse Practitioner 0749407336 Reassigns benefits to 1 organization
I20260504006609 DC Practitioner - Nurse Practitioner 0749407336 Reassigns benefits to 1 organization
I20260504006713 AZ Practitioner - Nurse Practitioner 0749407336 Reassigns benefits to 1 organization
I20260606000386 NY Practitioner - Nurse Practitioner 0749407336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
View Point HealthGroup PAC ID 0840272282, 33 clinicians

Practice addresses (Care Compare)

8201 Hazelbrand Rd NE
Covington, GA 30014-1510
Phone (770) 787-3977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN187425GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mandip Medipsych Health Services Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
View Point Health CurrentSince Jul 1, 2022 Accepting new patients

Locations

8201 Hazelbrand Rd NE
Covington, GA 30014
Phone (770) 787-3977

175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394

850 Dogwood Rd
Lawrenceville, GA 30044
Phone (404) 985-5413

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1588075212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 SUGARLOAF PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437834",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 SUGARLOAF PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437834",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBE",
        "first_name": "JUDITH",
        "middle_name": "MANDIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN187425",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN187425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.