Amabel Sarmiento Acosta, RN,APRN-NP, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Athens, GA
NPI 1659998722 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1659998722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN256895 (GA)
- Practice address
- 250 Bray Street
Athens, GA 30601-2244 - Phone
- (706) 612-6995
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- George Washington University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advantage Behavioral Health Systems
Practice addresses (Care Compare)
250 Bray St
Athens, GA 30601-2203
Phone 70638967891108
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230901003208 | GA | Practitioner - Nurse Practitioner | 1153784483 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN256895 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Dennis MD PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Advantage Behavioral Health Systems | Current |
Accepting new patients |
Locations
250 Bray St
Athens, GA 30601
Phone (706) 542-9746
240 Mitchell Bridge Rd
Athens, GA 30606
Phone (706) 369-5745
1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902
11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN256895 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN256895 | GA | Yes |
Addresses
Primary practice location
250 Bray Street
Athens, GA 30601-2244
Mailing address
1101 Millers Lake Dr
Watkinsville, GA 30677-7791
Phone (480) 352-3714
Other providers in Athens, GA
- Anis M Alkateb Abobaker
- Above and Beyond Home Care Cooperative, LLC
- Recto Abrigo
- Kimberly Abuajah
- Samuel Boakye Acheampong
- Tanya Acosta
- Adair Dialysis LLC
- Morgan Sarah Adair
- Antonia Elizabeth Adams
- Danny L Adams
All providers in Athens, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.