Individual ProviderNelliah MahachiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address320 Pennbrooke Trce, Johns Creek, GA 30097-1879(404) 399-9842PECOS EnrollmentBased on the most recent information from CMS, provider Nelliah Mahachi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1487389342Provider TypeIndividualFull NameMahachi, NelliahTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date7/22/2022Last Updated7/22/2022Contact InformationPractice LocationPractice Address320 Pennbrooke Trce, Johns Creek, GA 30097-1879Phone(404) 399-9842FaxUnlisted FaxMailing LocationMailing Address320 Pennbrooke Trce, Johns Creek, GA 30097-1879Phone(404) 399-9842FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN252549Georgia