Nimba Integrative Practice LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NIMBA INTEGRATIVE PRACTICE LLC

Practice address

5300 Memorial Dr Ste 101
Stone Mountain, GA 30083-3154

Phone

(470) 918-9719

NPI assigned

Apr 10, 2023

Organization subpart

Yes

Parent organization

NONEAs reported in NPPES

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

Authorized official

Name

Mrs. Asata Kamara Aprn, ASATA KAMARA DNP

Title

Owner

Phone

(470) 918-9719

Specialties & licenses 3

Addresses

Other names 1

• NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

Nimba Integrate Prac

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asata Kamara, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stone Mountain, GA
  • NPI 1124412788
  Medicare reassignment NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1902591472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR STE 101",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR STE 101",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833154",
            "telephone_number": "470-918-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBA INTEGRATIVE PRACTICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NONE",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "APRN",
        "authorized_official_first_name": "ASATA",
        "authorized_official_middle_name": "KAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-918-9719",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ASATA KAMARA DNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.