Organization Active NPI

Amanny Wellness Behavioral LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1659092963
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMANNY WELLNESS BEHAVIORAL LLC
Practice address
6095 Roswell Rd Ste 450
Atlanta, GA 30328-4003
Phone
(470) 260-4493
NPI assigned
Sep 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Alana Williams
Title
RCM
Phone
(678) 820-9447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

6095 Roswell Rd Ste 450
Atlanta, GA 30328-4003

Mailing address

6095 Roswell Rd Ste 450
Atlanta, GA 30328-4003
Phone (470) 260-4493

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL amannywellness.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230510002887 GA Part B Supplier - Clinic/Group Practice 1557727930 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

6065 Roswell Rd
Ste 450
Sandy Springs, GA 30328
Phone (404) 994-6226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1659092963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 ROSWELL RD STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284003",
            "telephone_number": "470-260-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 ROSWELL RD STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284003",
            "telephone_number": "470-260-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANNY WELLNESS BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALANA",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "678-820-9447"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amannywellness.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "informational",
            "address_1": "6095 Roswell Rd Ste 450",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.