Individual provider Active NPI

Amauwia Okivie, NP

  • Registered Nurse
  • Suwanee, GA
National Provider Identifier
1023460417
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN179764 Issued in GA
Practice address
961 Heathchase Dr
Suwanee, GA 30024-3622
Phone
(678) 463-5695
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN179764 GA
Registered Nurse 163W00000X RN179764 GA Primary

Addresses

Primary practice location

961 Heathchase Dr
Suwanee, GA 30024-3622

Mailing address

961 Heathchase Dr
Suwanee, GA 30024-3622
Phone (678) 463-5695

Other practice location 1

1210 Commerce Dr Ste 106
Greensboro, GA 30642-7447
Phone (678) 463-5695

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidGA

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
I20230518000786 GA Practitioner - Nurse Practitioner 1254797277 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

961 Heathchase Dr
Suwanee, GA 30024-3622
Phone (678) 463-5695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN179764GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adexbra Healthcare LLC CurrentSince May 1, 2025 Accepting new patients
Advantage Behavioral Health Systems CurrentSince Jul 19, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 29, 2024 Accepting new patients
Amauwia Ama Nursing Services CurrentSince Aug 1, 2022 Accepting new patients

Locations

250 Bray St
Athens, GA 30601
Phone (706) 542-9746

6575 Spring St
Douglasville, GA 30134
Phone (678) 549-2323

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1023460417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 HEATHCHASE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243622",
            "telephone_number": "678-463-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 HEATHCHASE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243622",
            "telephone_number": "678-463-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Commerce Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306427447",
            "country_code": "US",
            "telephone_number": "678-463-5695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKIVIE",
        "first_name": "AMAUWIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN179764",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN179764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.