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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANDRA I AGAZIE
NPI 1093506701
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since May 13, 2025
115 BRADFORD SQ STE B, FAYETTEVILLE, GA 30215(404) 736-4343(844) 870-7142 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Oct 10, 2025, May 13, 2025 (3 updates tracked since 2025).

About Sandra I Agazie NPPES

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

SANDRA I AGAZIE (NPI 1093506701) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in Georgia (RN170528) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1093506701
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANDRA I AGAZIE
Location Address115 BRADFORD SQ STE BFayetteville, GA 30215-1962
Mailing Address7586 Oldham LnRiverdale, GA 30274-3595 · (404) 736-4343 · Fax (844) 270-7142
Phone(404) 736-4343
Fax(844) 870-7142
Sole ProprietorNo
Enumeration DateMay 13, 2025
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1093506701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN170528
Also ListedRegistered NurseTaxonomy 163W00000X · License RN170538 (GA)
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN170538 (GA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN170528 (GA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN170528 (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN170528 (GA)
115 BRADFORD SQ STE B, Fayetteville, GA 30215
Open in Google Maps ↗

Other Identifiers 5

Medicaid003149239AGA
Medicaid003133861BGA
Medicaid003133861AGA
Medicaid0031333861DGA
Medicaid003315273AGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANZIE HEALTHCARE SERVICES, INC
Home Health
115 BRADFORD SQ STE B
FAYETTEVILLE, GA 30215
Fayette County (770) 716-2333

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 Sandra Agazie's NPI number?

The NPI number for Sandra Agazie is 1093506701. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Sandra Agazie located?

Sandra Agazie practices at 115 Bradford Sq Ste B, Fayetteville, GA 30215. The listed phone number is (404) 736-4343.

What is Sandra Agazie'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 Sandra Agazie was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.