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

Tewodros Negassa

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124820071

Tewodros Negassa is a Nurse Practitioner in Snellville, Georgia. Qualified in 2024, 2 years ago. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

4440 Riders Ridge Trl
Snellville, GA 30039-8580
Phone: (404) 482-8537
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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 RN288423 (GA)

Record details

NPI number1124820071
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address4440 Riders Ridge Trl, Snellville, GA 30039-8580

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 Snellville