Individual provider Active NPI

Baraka Karanja

  • Psychiatric/Mental Health Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1003597642
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
241515 Issued in GA
Practice address
6716 Brookfield Way
Douglasville, GA 30134-1461
Phone
(404) 671-6418
Fax
(770) 683-6949
NPI assigned
Jul 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 241515 GA Primary

Addresses

Primary practice location

6716 Brookfield Way
Douglasville, GA 30134-1461

Mailing address

6716 Brookfield Way
Douglasville, GA 30134-1461
Phone (404) 671-6418

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240124000169 GA Practitioner - Nurse Practitioner 1153773338 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Rivers Community Service BoardGroup PAC ID 9032000245, 57 clinicians

Practice addresses (Care Compare)

1650 County Service Pkwy SW
Marietta, GA 30008-4010
Phone (770) 514-2422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
241515GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Jul 1, 2024 Accepting new patients
Omni Virtual Health Care Inc CurrentSince Oct 1, 2024 Accepting new patients
Willow Oak Community Behavioral Health Center CurrentSince Apr 24, 2025 Accepting new patients
Highland Rivers Community Service Board CurrentSince Dec 4, 2023 Accepting new patients
Highland Rivers CSB CurrentSince Dec 4, 2023 Accepting new patients
Georgia Woundcare MD LLC PastSince Oct 1, 2024 Accepting new patients
Willow Oak Foundation, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

1758 County Services Pkwy SW
Marietta, GA 30008
Phone (404) 794-4857

37 Calumet Pkwy
Ste J102
Newnan, GA 30263

6944 Highway 85
Ste F
Riverdale, GA 30274
Phone (770) 683-6946

3995 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-4567

2160 Fountain Dr
Ste 100
Snellville, GA 30078
Phone (678) 344-8268

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1003597642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 BROOKFIELD WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341461",
            "telephone_number": "404-671-6418",
            "fax_number": "770-683-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 BROOKFIELD WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341461",
            "telephone_number": "404-671-6418",
            "fax_number": "770-683-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANJA",
        "first_name": "BARAKA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "241515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.