Active NPI
Chevelle Cariesha Oliver, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Conyers, GA
National Provider Identifier
1972411593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 286325
- Practice address
- 1705 Highway 138 SE
Conyers, GA 30013-0121 - Phone
- (404) 951-2027
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 286325 | GA | Primary |
Addresses
Primary practice location
1705 Highway 138 SE
Conyers, GA 30013-0121
Mailing address
1705 Highway 138 SE
Conyers, GA 30013-0121
Phone (404) 951-2027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1972411593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 HIGHWAY 138 SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300130121",
"telephone_number": "404-951-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 HIGHWAY 138 SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300130121",
"telephone_number": "404-951-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "CHEVELLE",
"middle_name": "CARIESHA",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "286325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.