Linda Octavien, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-NP172559 Issued in FL

Practice address

333 Swanson Dr Ste 123
Lawrenceville, GA 30043-8539

Phone

(470) 981-7462

Fax

(470) 970-4285

NPI assigned

Apr 8, 2020

Reactivated

Jul 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: linda.octavien.2@28696.direct.athenahealth.com

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.

• Reklayme

  • Health Service Clinic/Center
  • Duluth, GA
  • NPI 1730886912
  Medicare reassignment NPD Authorized official
• Restored Health Inc.

  • Family Medicine Physician
  • Lilburn, GA
  • NPI 1225242308
  Medicare reassignment NPD
• Emergent Testing LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1982214888
  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1699304881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 NEW HOPE RD STE 11-420",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456407",
            "telephone_number": "678-387-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SWANSON DR STE 123",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438539",
            "telephone_number": "470-981-7462",
            "fax_number": "470-970-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Glenlake Pkwy",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303283431",
            "country_code": "US",
            "telephone_number": "404-365-0966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Scenic Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300465649",
            "country_code": "US",
            "telephone_number": "770-513-7666",
            "fax_number": "773-513-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCTAVIEN",
        "first_name": "LINDA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "deactivation_date": "2024-06-19",
        "reactivation_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN-NP172559",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN172559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel U Obioma
• Daniel Obregon
• Occupational Health Centers of Georgia, P.C.
• John Andrew Ang Ocenar
• Gloria Amparo Ochoa-Andia, RD, CDE, IBCLC
• Odelus Wellness Psychiatry
• Larry R Odom, CRNA
• Adeniyi O Odugbesan, M.D.
• Geraldine Odujole
• Hannah O Odunaiya, MD

• Psychiatric/Mental Health Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.