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

Omoniyi Fatai Mutiu, PMHNP

Individual provider Registered Nurse · NPI 1396247359

Omoniyi Fatai Mutiu, PMHNP is a Nurse Practitioner in Duluth, Georgia. Qualified in 2016, 10 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2018
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

2055 Sugarloaf Cir Ste 575
Duluth, GA 30097-9804
Phone: (404) 999-7971
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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-NP286020 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN286020 (GA)

Record details

NPI number1396247359
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMarch 6, 2018
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 2016 (10 years in practice)
Group practice Personal Recovery Network Llc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Duluth