Individual provider Active NPI

Amber Leeann Strub, DNP, PMHNP, BSN-RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1396502266
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN186684 Issued in GA
Practice address
209 View Pointe LN
Lagrange, GA 30241-9103
Phone
(912) 755-8153
NPI assigned
Mar 6, 2024
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 RN186684 GA Primary

Addresses

Primary practice location

209 View Pointe LN
Lagrange, GA 30241-9103

Mailing address

209 View Pointe LN
Lagrange, GA 30241-9103
Phone (912) 755-8153

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
I20250725002224 GA Practitioner - Nurse Practitioner 6507373578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Veal Group, LLCGroup PAC ID 2264806587, 5 clinicians

Practice addresses (Care Compare)

403 Ridley Ave
Lagrange, GA 30240-2231
Phone (706) 756-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Veal Group, LLC Single Specialty CurrentSince Jul 11, 2025 Accepting new patients
Lagrange Clinic of Chiropractic Incorporated Single Specialty Past Accepting new patients

Locations

401 Ridley Ave
Ste C
Lagrange, GA 30240
Phone (706) 616-1363

403 Ridley Ave
Lagrange, GA 30240
Phone (706) 756-1970

403 Ridley Ave
Ste C
Lagrange, GA 30240

Interoperability endpoints

  • Direct secure messaging: amber.strub.1@5888.direct.athenahealth.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, 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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1396502266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 VIEW POINTE LN",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302419103",
            "telephone_number": "912-755-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 VIEW POINTE LN",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302419103",
            "telephone_number": "912-755-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUB",
        "first_name": "AMBER",
        "middle_name": "LEEANN",
        "credential": "DNP, PMHNP, BSN-RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN186684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.