Individual provider Active NPI

Siobhan Oriaifo

  • Psychiatric/Mental Health Nurse Practitioner
  • Macon, GA
National Provider Identifier
1881217883
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
GAA-NP002443 Issued in GA
Practice address
3575 Fulton Mill Road
Macon, GA 31206-5117
Phone
(478) 803-8434
Fax
(478) 803-8434
NPI assigned
May 26, 2020
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1056304 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X GAA-NP002443 GA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 853096 TX

Addresses

Primary practice location

3575 Fulton Mill Road
Macon, GA 31206-5117

Mailing address

5588 Circle Stone Lane
Stone Mountain, GA 30088-1226
Phone (470) 469-0860

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
I20250530000920 GA Practitioner - Nurse Practitioner 7315316866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
853096TXMDPsychiatric/Mental Health Registered Nurse
GAA-NP002443GAMDPsychiatric/Mental Health Nurse Practitioner
1056304TXMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: siobhan.oriaifo.1@18773.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1881217883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5588 CIRCLE STONE LANE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300881226",
            "telephone_number": "470-469-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 FULTON MILL ROAD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312065117",
            "telephone_number": "478-803-8434",
            "fax_number": "478-803-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIAIFO",
        "first_name": "SIOBHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1056304",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "GAA-NP002443",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "853096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.