Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Omorogbe, NP

Individual provider Registered Nurse · NPI 1295422525

Amanda Omorogbe, NP is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2024, 2 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
2
Licensed in
CA, GA
In the registry since
2023
Specialties on file
6
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764
Phone: (678) 843-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN284331 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN284331 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 95280054 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN284331 (GA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95033098 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95033098 (CA)

Record details

NPI number1295422525
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 18, 2023
Last updated in NPPESMarch 30, 2025
Certification dateMarch 30, 2025
Mailing address5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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