Cyprian Amadi

Individual provider Active NPI Home Health Aide · Douglasville, GA

NPI 1619637568 · NPPES record last updated Dec 20, 2021

Key facts

NPI
1619637568
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
4429 Bellemeade Dr
Douglasville, GA 30135-4926
Phone
(404) 916-9941
Fax
(404) 474-1189
NPI assigned
Dec 20, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
New Generation Health Care Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X GA Yes

Addresses

Primary practice location

4429 Bellemeade Dr
Douglasville, GA 30135-4926

Mailing address

4429 Bellemeade Dr
Douglasville, GA 30135-4926
Phone (404) 916-9941

Other providers in Douglasville, GA

All providers in Douglasville, GA · Home Health Aide in Georgia

Sources for this page

Verify at the official NPI Registry.