Active NPI
Maabena Owusu-Prempeh
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1487564662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP276006
- Practice address
- 650 Ponce de Leon Ave. Ste. 300
#1544
Atlanta, GA 30308 - Phone
- (470) 243-0347
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-NP276006 | GA | Primary |
Addresses
Primary practice location
650 Ponce de Leon Ave. Ste. 300
#1544
Atlanta, GA 30308
Mailing address
650 Ponce de Leon Ave. Ste. 300
#1544
Atlanta, GA 30308
Phone (470) 243-0347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1487564662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 PONCE DE LEON AVE. STE. 300",
"address_2": "#1544",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30308",
"telephone_number": "470-243-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PONCE DE LEON AVE. STE. 300",
"address_2": "#1544",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30308",
"telephone_number": "470-243-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWUSU-PREMPEH",
"first_name": "MAABENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP276006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.