Pristella Ohanaja, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN170626 Issued in GA

Practice address

1129 N 5TH Street Ext
Cordele, GA 31015-3776

Phone

(229) 273-4100

Fax

(229) 273-0092

NPI assigned

Apr 15, 2016

Last updated

May 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9679/brand/1/csg/1/fhir/r4

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.

• Highland Rivers Community Service Board

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1447256243
  Medicare reassignment NPD
• Long's Drugs of Sandersville, Georgia, Inc.

  dba AvitaCare

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1265155774
  Medicare reassignment NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Absolutecare, LLC

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1528198678
  NPD
• Highland Rivers CSB

  dba Highland Rivers Whitfield Treatment Services

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1164585543
  NPD
• Longs Drugs of Sandersville Georgia Inc

  dba Avita Pharmacy 1046

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1053357509
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1023537321
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD
• Adventist Homecare and Medical Services

  • In Home Supportive Care Agency
  • Cordele, GA
  • NPI 1598145112
  NPD (past)

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1073967055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4881",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084881",
            "telephone_number": "229-273-4100",
            "fax_number": "229-273-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N 5TH STREET EXT",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153776",
            "telephone_number": "229-273-4100",
            "fax_number": "229-273-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHANAJA",
        "first_name": "PRISTELLA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN170626",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN170626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Neal, MD
• Fernando J Neuman, M.D.
• Brandi Jean Newman
• Michael R. Nulph, M.D.
• Kevin Obregon, PHARMACIST
• Marcus Evans Overstreet, DC
• Sumer Shaye Overstreet, FNP
• William P Pannell Jr., MD
• Joni Parkerson
• Carrie Lyn Parson, RNCPNP

• Psychiatric/Mental Health Nurse Practitioner in Cordele, GA
• Providers in Cordele, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.