Individual provider Active NPI

Amara Onuorah, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1700477981
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP255017 Issued in GA
Practice address
11111 Houze Rd Ste 201&225
Roswell, GA 30076-5663
Phone
(678) 833-0502
Fax
(253) 254-5911
NPI assigned
Jan 29, 2021
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP255017 GA Primary
Registered Nurse 163W00000X RN255017 GA

Addresses

Primary practice location

11111 Houze Rd Ste 201&225
Roswell, GA 30076-5663

Mailing address

11111 Houze Rd Ste 201&225
Roswell, GA 30076-5663
Phone (678) 833-0502

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
I20220630001558 GA Practitioner - Nurse Practitioner 6608256144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

11111 Houze Rd
Suite 225
Roswell, GA 30076-5618
Phone (770) 603-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP255017GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Aug 1, 2022 Accepting new patients
Georgia CVS Pharmacy L.L.C PastSince Jan 1, 2021 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

11111 Houze Rd
Ste 225
Roswell, GA 30076
Phone (770) 436-9700

1200 Altmore Ave
Ste 200
Sandy Springs, GA 30342
Phone (678) 426-2930

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.amaraonuorah@124220.advancedmd-direct.com

Organizations & group practices 2

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1700477981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 HOUZE RD STE 201&225",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765663",
            "telephone_number": "678-833-0502",
            "fax_number": "253-254-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HOUZE RD STE 201&225",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765663",
            "telephone_number": "678-833-0502",
            "fax_number": "253-254-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUORAH",
        "first_name": "AMARA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP255017",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN255017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.