Jovita Ngozi Anyanwu
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Stockbridge, GA
NPI 1134870793 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1134870793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 202551 (GA)
- Practice address
- 831 Fairways CT Ste a
Stockbridge, GA 30281-7278 - Phone
- (770) 389-1925
- Fax
- (770) 389-3077
- NPI assigned
- Jan 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202551 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Psychotherapy, LLC | Current |
Accepting new patients | |
| Gathering Precious Stones, LLC | Current |
Accepting new patients |
Locations
903 Pavilion Ct
Ste D
McDonough, GA 30253
Phone (404) 913-9114
831 Fairways Ct
Ste A
Stockbridge, GA 30281
Phone (770) 389-1925
Interoperability endpoints
- janyanwu2841945@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202551 | GA | Yes |
Addresses
Primary practice location
831 Fairways CT Ste a
Stockbridge, GA 30281-7278
Mailing address
1700 Northside Dr NW Ste NW
Atlanta, GA 30318-2673
Other practice location 1
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-0600
Other providers in Stockbridge, GA
- Angel Healthcare Solutions, LLC
- Angela P. Shannon MD PC
- Angels on Mission LLC
- Najah Angrand
- Shivani Anumolu
- Apex Family Healthcare Services, LLC
- Carolnette Arbouine
- Aurelius E. Archie
- Matilda A Arhin
- Aminata Arimah
All providers in Stockbridge, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.