Individual provider Active NPI

Amber Gravitt, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Calhoun, GA
National Provider Identifier
1790592855
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN260524 Issued in GA
Practice address
225 W Line St Ste 4
Calhoun, GA 30701-1837
Phone
(678) 383-0636
Fax
(706) 383-1583
NPI assigned
Dec 12, 2024
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN260524 GA Primary

Addresses

Primary practice location

225 W Line St Ste 4
Calhoun, GA 30701-1837

Mailing address

225 W Line St Ste 4
Calhoun, GA 30701-1837
Phone (678) 383-0636

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
I20250401001459 GA Practitioner - Nurse Practitioner 0749703692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Rise Wellness LLCGroup PAC ID 0244607919, 4 clinicians

Practice addresses (Care Compare)

632 Pisgah Way
Calhoun, GA 30701-1958
Phone (678) 986-9452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN260524GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Foot & Ankle Specialists CurrentSince Dec 15, 2024 Accepting new patients
Mindset for Prosperity LLC Psychiatric/Mental Health CurrentSince Jan 15, 2025 Accepting new patients
Rise Wellness LLC PastSince May 4, 2025 Accepting new patients

Locations

409 W 10th St NE
Rome, GA 30165
Phone (706) 232-3888

Organizations & group practices 3

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": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1790592855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W LINE ST STE 4",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011837",
            "telephone_number": "678-383-0636",
            "fax_number": "706-383-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W LINE ST STE 4",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011837",
            "telephone_number": "678-383-0636",
            "fax_number": "706-383-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVITT",
        "first_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN260524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.