Martin Njifua Amin, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Acworth, GA
NPI 1720745102 · NPPES record last updated Jul 20, 2025
Key facts
- NPI
- 1720745102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN297188 (GA)
- Practice address
- 224 Peaks TRL
Acworth, GA 30102-1955 - Phone
- (978) 893-8480
- NPI assigned
- Nov 20, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Highland Rivers Community Service Board
Practice addresses (Care Compare)
1758 County Services Pkwy SW
Marietta, GA 30008-4012
Phone (404) 794-4857
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 |
|---|---|---|---|---|
| I20251231000448 | GA | Practitioner - Nurse Practitioner | 1850887704 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN297188 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers Community Service Board | Current |
Accepting new patients | |
| Highland Rivers CSB | Current |
Accepting new patients |
Locations
191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600
1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507
1758 County Services Pkwy SW
Marietta, GA 30008
Phone (404) 794-4857
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN297188 | GA | Yes |
Addresses
Primary practice location
224 Peaks TRL
Acworth, GA 30102-1955
Mailing address
414 Abbeyglen Way NW
Kennesaw, GA 30144-6653
Phone (978) 893-8480
Other providers in Acworth, GA
- Anthony Joseph Alfano
- All Aboard Transportation Services
- Kara Melissa Allen
- Alliant Behavioral Health LLC
- Marianny Giselle Amezquita
- Amna Khan Counseling and Consultation
- Shelley Amos
- Ewa Anaele
- Damous L Anderson
- Gregory Anderson
All providers in Acworth, 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 Jul 20, 2025. 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.