Individual ProviderLinda OctavienNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2250 Satellite Blvd Ste 140, Duluth, GA 30097-4917(470) 981-7462(678) 387-8719PECOS EnrollmentBased on the most recent information from CMS, provider Linda Octavien is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1699304881Provider TypeIndividualFull NameOctavien, LindaCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date4/8/2020Last Updated7/15/2024Contact InformationPractice LocationPractice Address2250 Satellite Blvd Ste 140, Duluth, GA 30097-4917Phone(470) 981-7462FaxUnlisted FaxMailing LocationMailing Address993 Natural Brook Trl, Lawrenceville, GA 30045-2614Phone(678) 387-8719FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN172559Georgia