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

Srujal Amin, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1174408124

Srujal Amin, NURSEPRACTITIONER is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2024, 2 years ago. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1498 Jesse Jewell Pkwy SE Ste C
Gainesville, GA 30501-3874
Phone: (770) 744-4806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN279137 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN279137 (GA)

Record details

NPI number1174408124
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Gainesville