Active NPI
Absolute Health Family & Urgent Care Clinic
- Family Nurse Practitioner
- Riverdale, GA
National Provider Identifier
1851894588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN201832
- Legal business name
- ABSOLUTE HEALTH FAMILY & URGENT CARE CLINIC
- Practice address
- 7574 Ga 85
Riverdale, GA 30274 - Phone
- (000) 000-0000
- Fax
- (404) 393-7144
- NPI assigned
- Mar 8, 2018
- Last updated
- Jun 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest Amukamara, FNP
- Title
- President
- Phone
- (678) 232-3191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | RN201832 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN201832 | GA | Primary |
Addresses
Primary practice location
7574 Ga 85
Riverdale, GA 30274
Mailing address
7574 Ga 85
Riverdale, GA 30274-3447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356529101 | Other | GA | NPI |
| 817526188G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2149541 | Absolute Health Family and Urgent Care Clinic, LLC | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1356529101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528243200000",
"number": "1851894588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7574 GA 85",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302743447",
"fax_number": "404-393-7144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7574 GA 85",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "30274",
"telephone_number": "000-000-0000",
"fax_number": "404-393-7144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUTE HEALTH FAMILY & URGENT CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-08",
"last_updated": "2018-06-06",
"status": "A",
"authorized_official_last_name": "AMUKAMARA",
"authorized_official_first_name": "ERNEST",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-232-3191",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "GA",
"license": "RN201832",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN201832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1356529101",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "817526188G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.