Individual provider Active NPI

Christabel Sarfo Adomako, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Dacula, GA
National Provider Identifier
1295154573
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020045457 Issued in GA
Practice address
2727 Captain CT
Dacula, GA 30019-7840
Phone
(513) 291-2099
NPI assigned
Apr 15, 2014
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 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 2020045457 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024001478 GA

Addresses

Primary practice location

2727 Captain CT
Dacula, GA 30019-7840

Mailing address

2727 Captain CT
Dacula, GA 30019-7840
Phone (513) 291-2099

Other practice location 1

315 W Ponce De Leon Ave Ste 546
Decatur, GA 30030-2448
Phone (404) 997-8043

Other names 1

  • Mrs. Christabel Sarfo Milner Former name

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
I20220426000266 GA Practitioner - Nurse Practitioner 7113314980 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020045457GAMDFamily Nurse Practitioner
2024001478GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Jun 27, 2022 Accepting new patients
Physiatry Consultants of Ga LLC CurrentSince Feb 17, 2025 Accepting new patients
Psych Care Atl Psychiatric/Mental Health PastSince Jun 30, 2024 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

415 Airport Rd
Griffin, GA 30224
Phone (770) 227-8636

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

3460 Powder Springs Rd
Powder Springs, GA 30127
Phone (770) 439-9199

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Interoperability endpoints

  • Direct secure messaging: christabel.adomako@raccl-ga.direct.office.nextgen.com

Organizations & group practices 5

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1295154573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 CAPTAIN CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197840",
            "telephone_number": "513-291-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 CAPTAIN CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197840",
            "telephone_number": "513-291-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Ponce De Leon Ave Ste 546",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302448",
            "country_code": "US",
            "telephone_number": "404-997-8043",
            "fax_number": "949-757-8783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADOMAKO",
        "first_name": "CHRISTABEL",
        "middle_name": "SARFO",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2020045457",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "2024001478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTABEL",
            "last_name": "MILNER",
            "middle_name": "SARFO",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.