NPI age
1 years
Enumerated 2024-11-20
● Active
Type 1 · Individual
Nicollette Louise Black-Ballard, PMHNP
Black-Ballard is 1 of 9 nurse practitioner providers in Norcross and 1 of 1622 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1622 active nurse practitioner providers in Georgia.
NPI age
1 years
↓ 3 yr below median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-11Enumerated in NPPES
2024
2026
Where they practice
Practice location
5127 Jimmy Carter Blvd Ste 205
Norcross, GA 300931619
Mailing address
2915 Ilir Mnr Nw
Atlanta, GA 303182231
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Provyx · Custom healthcare lists
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.