Mary Agyei Mensah

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN328420 Issued in GA

Practice address

2953 Amabile Rd
Dacula, GA 30019-5447

Phone

(347) 589-5874

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Py Medical Services of Ny PLLC

  • Internal Medicine Physician
  • Fowler, OH
  • NPI 1760199988

  GA

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment NPD
• Rite Med Group of Ga PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1487473849
  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1013748813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 AMABILE RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195447",
            "telephone_number": "347-589-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 AMABILE RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195447",
            "telephone_number": "347-589-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEI MENSAH",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN328420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Admiraal
• Christabel Sarfo Adomako, NURSE PRACTITIONER
• Advanced Foot and Ankle Centers of Georgia
• Affinity Angels Care Helens Adult Day Center
• Affinity Angels Home Care LLC
• Khaja Ahmed, M.D.
• Samiha Ahsan, PA
• Aid First Transportation, LLC
• Wislet Aime
• Vivian Chioma Akabueze, RN

• Family Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.