MRS. AMARACHI EDOM PMHNP
NPI 1093425191
Nurse Practitioner - Psychiatric/Mental Health in Loganville, GA

Q: What is Amarachi Edom's NPI number?

The NPI number for Amarachi Edom is 1093425191. It was assigned to this individual provider in the NPPES registry on November 29, 2022.

Q: What is Amarachi Edom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Amarachi Edom was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 29, 2022

2501 FALL CREEK LDG, LOGANVILLE, GA 30052(404) 438-4634 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Amarachi Edom Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMARACHI EDOM PMHNP (NPI 1093425191) is an individual psychiatric/mental health provider in Loganville, Georgia, licensed in Georgia (RN255325) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1093425191

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. AMARACHI EDOMCredential: PMHNP

Location Address2501 FALL CREEK LDGLoganville, GA 30052-5819

Mailing Address2501 Fall Creek LdgLoganville, GA 30052-5819 · (404) 438-4634

Phone(404) 438-4634

Sole ProprietorYes

Enumeration DateNovember 29, 2022

NPPES CertifiedNovember 29, 2022

✔ NPI 1093425191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN255325

2501 FALL CREEK LDG, Loganville, GA 30052

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amarachi Edom's NPI number?

The NPI number for Amarachi Edom is 1093425191. It was assigned to this individual provider in the NPPES registry on November 29, 2022.

Where is Amarachi Edom located?

Amarachi Edom practices at 2501 Fall Creek Ldg, Loganville, GA 30052. The listed phone number is (404) 438-4634.

What is Amarachi Edom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Amarachi Edom was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.