Mariam Odigwe, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN284179 Issued in GA

Practice address

231 W Hancock St # 63
Milledgeville, GA 31061-3375

Phone

(360) 523-2820

NPI assigned

Feb 8, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Liber Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynnwood, WA
  • NPI 1578453197
  NPD Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1326802414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300110896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W HANCOCK ST # 63",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613375",
            "telephone_number": "360-523-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIGWE",
        "first_name": "MARIAM",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN284179",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN284179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oconee Sleep and Wellness Center, LLC
• Oconee Surgical & Pediatric Associates
• Oconee Urology, P.C.
• Oconee Valley Healthcare Inc
• Oconee Valley Healthcare Inc
• Olufemi A Ogunyemi, M.D.
• Old Capital Women'S Health
• Frezalia Laverne Oliver, LCSW
• Akinlolu Omitowoju, MD
• On Time Emergency Transportation LLC

• Psychiatric/Mental Health Nurse Practitioner in Milledgeville, GA
• Providers in Milledgeville, 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 Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.