Individual provider Active NPI

Sandra Umuko Yerakpo Agoreyo, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1568146173
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN324846 Issued in GA
Practice address
5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834
Phone
(770) 874-5487
NPI assigned
Jun 14, 2023
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN324846 GA Primary
Registered Nurse 163W00000X 95316133 CA
Registered Nurse 163W00000X R210473 MD

Addresses

Primary practice location

5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834

Mailing address

300 Favor Rd Apt 5106
Fayetteville, GA 30214-7693
Phone (443) 453-1262

Other practice location 1

300 Favor Rd Apt 5106
Fayetteville, GA 30214-7693
Phone (443) 453-1262

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
I20240111004589 GA Practitioner - Nurse Practitioner 0345691515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Phone (770) 603-3685

2470 Mount Zion Pkwy
BLDG 200
Jonesboro, GA 30236-2500
Phone (770) 527-9031

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95316133CAMDRegistered Nurse
R210473MDMDRegistered Nurse
APRN324846GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group CurrentSince Feb 19, 2026 Accepting new patients
Theoria Medical CurrentSince May 30, 2024 Accepting new patients
Georgia Emergency Group, LLC CurrentSince Nov 30, 2023 Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

211 Mathis Ave
Twin City, GA 30471
Phone (478) 763-2141

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 3

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1568146173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FAVOR RD APT 5106",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147693",
            "telephone_number": "443-453-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR STE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285834",
            "telephone_number": "770-874-5487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Favor Rd Apt 5106",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147693",
            "country_code": "US",
            "telephone_number": "443-453-1262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGOREYO",
        "first_name": "SANDRA",
        "middle_name": "UMUKO YERAKPO",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN324846",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95316133",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R210473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.