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

Ugo Amalaha

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104350701

Ugo Amalaha is a Nurse Practitioner in Austell, Georgia. Qualified in 2016, 10 years ago. Practices with Brightside Medical of Michigan PC, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Washington.

Years since qualifying
10
Licensed in
GA, WA
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1846 S Carisbrook Pl
Austell, GA 30168-5139
Phone: (770) 313-8840
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 229495 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61411051 (WA)

Record details

NPI number1104350701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2017
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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 Brightside Medical Of Michigan Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Austell