Individual provider Active NPI

Akeela Dossa, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1396222121
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-RN171222 Issued in GA
Practice address
10090 Medlock Bridge Rd Ste 110
Johns Creek, GA 30097-4428
Phone
(470) 482-6508
Fax
(770) 476-9750
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-RN171222 GA Primary

Addresses

Primary practice location

10090 Medlock Bridge Rd Ste 110
Johns Creek, GA 30097-4428

Mailing address

10090 Medlock Bridge Rd Ste 110
Johns Creek, GA 30097-4428
Phone (470) 482-6508

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
I20190123000803 GA Practitioner - Nurse Practitioner 2062759533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

2055 Sugarloaf Cir
Suite 575
Duluth, GA 30097-9804
Phone (404) 999-7971

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-RN171222GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Apr 12, 2022 Accepting new patients
Personal Recovery Network LLC PastSince Oct 21, 2025 Accepting new patients

Locations

2055 Sugarloaf Cir
Ste 575
Duluth, GA 30097
Phone (404) 999-7971

10090 Medlock Bridge Rd
Ste 110
Johns Creek, GA 30097
Phone (470) 482-6508

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.akeeladossa@124220.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1396222121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 MEDLOCK BRIDGE RD STE 110",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974428",
            "telephone_number": "470-482-6508",
            "fax_number": "770-476-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 MEDLOCK BRIDGE RD STE 110",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974428",
            "telephone_number": "470-482-6508",
            "fax_number": "770-476-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSA",
        "first_name": "AKEELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-RN171222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.