Individual provider Active NPI

Aminat Banjo, NP

  • Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1740007269
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP288244 Issued in GA
Practice address
2336 Wisteria Dr
Snellville, GA 30078-6191
Phone
(770) 733-1469
Fax
(770) 674-1628
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP288244 GA Primary
Psychiatry Physician 2084P0800X RN288244 GA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN288244 GA

Addresses

Primary practice location

2336 Wisteria Dr
Snellville, GA 30078-6191

Mailing address

2336 Wisteria Dr
Snellville, GA 30078-6191
Phone (770) 733-1469

Other practice location 1

1700 Medical Way
Snellville, GA 30078-2195
Phone (478) 464-8134

Other practice location 2

1190 W Druid Hills Dr NE
Brookhaven, GA 30329-2121
Phone (470) 666-5736

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
I20251015000160 GA Practitioner - Nurse Practitioner 6901393750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

Hospital & facility affiliations

  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN288244GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Hospitalist Physicians LLC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Piedmont Athens Specialty Care LLC Single Specialty Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1740007269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786191",
            "telephone_number": "770-733-1469",
            "fax_number": "770-674-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786191",
            "telephone_number": "770-733-1469",
            "fax_number": "770-674-1628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Medical Way",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782195",
            "country_code": "US",
            "telephone_number": "478-464-8134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 W Druid Hills Dr NE",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303292121",
            "country_code": "US",
            "telephone_number": "470-666-5736",
            "fax_number": "678-550-9633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANJO",
        "first_name": "AMINAT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP288244",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "RN288244",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN288244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.