Sefiatu Abu, PMHNP-BC
Individual provider Active NPI Psychiatry Physician · Fayetteville, GA
NPI 1982391629 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1982391629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- RN253363 (GA)
- Practice address
- 110 W Pier Way # a
Fayetteville, GA 30214-4617 - Phone
- (908) 906-0931
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grady Memorial Hospital Corporation
Practice addresses (Care Compare)
22 Piedmont Ave SE
3Rd Floor
Atlanta, GA 30303-3050
Phone (404) 616-2215
2805 Metropolitan Pkwy SW
Atlanta, GA 30315-7915
Phone (404) 616-1000
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230830003996 | GA | Practitioner - Nurse Practitioner | 4789047242 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN253363 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Community Health | Psychiatry | Current |
Accepting new patients |
Locations
2180 Satellite Blvd
Ste 400
Duluth, GA 30097
Phone (770) 256-3765
10700 Medlock Bridge Rd
Ste 104
Johns Creek, GA 30097
Phone (770) 476-9885
223 Medical Center Dr
Riverdale, GA 30274
Phone (770) 692-3554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | RN253363 | GA | Yes |
Addresses
Primary practice location
110 W Pier Way # a
Fayetteville, GA 30214-4617
Mailing address
223 Medical Center Dr
Riverdale, GA 30274-2640
Phone (770) 991-8500
Other practice location 1
223 Medical Center Dr
Riverdale, GA 30274-2640
Phone (770) 991-8500
Other providers in Fayetteville, GA
- Belinda Diane Abrams
- Ashley Absolu
- Absolute Medical Equipment, Inc
- Absolute Medical Staffing
- Absolute Staffing Solutions LLC
- Omar Abumahfouz
- Abundance Home Care Source LLC
- Abundant Zeal Counseling Services
- Acceptus Care Solutions
- Access Health Treatment Center LLC
All providers in Fayetteville, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.