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

Azeezat Abisola Samuel, PMHNP

Individual provider Registered Nurse · NPI 1447961164

Azeezat Abisola Samuel, PMHNP is a Nurse Practitioner in Cumming, Georgia. Qualified in 2022, 4 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

5965 Parkway North Blvd Ste C
Cumming, GA 30040-1431
Phone: (770) 886-5700
Fax: (770) 886-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-NP263096 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN63096 (GA)

Record details

NPI number1447961164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Personal Recovery Network Llc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cumming