Active NPI
Oberidon Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Cartersville, GA
National Provider Identifier
1033026117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- OBERIDON HEALTH LLC
- Practice address
- 29 Mountainbrook Dr
Cartersville, GA 30121-2235 - Phone
- (919) 758-2851
- NPI assigned
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amarachukwu Peace Ejime, DNP, PMHNP-BC
- Title
- Owner
- Phone
- (919) 758-2851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
29 Mountainbrook Dr
Cartersville, GA 30121-2235
Mailing address
269 Market Place Blvd
Cartersville, GA 30121-2235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1033026117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 MARKET PLACE BLVD",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301212235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MOUNTAINBROOK DR",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301212235",
"telephone_number": "919-758-2851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBERIDON HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "EJIME",
"authorized_official_first_name": "AMARACHUKWU",
"authorized_official_middle_name": "PEACE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-758-2851",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.