AMANDA OMOROGBE NP
NPI 1295422525
Nurse Practitioner - Gerontology in Atlanta, GA

Active since April 18, 2023PECOS EnrolledAccepts Medicare Assignment
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342(678) 843-7001 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2025, Nov 24, 2024 (2 updates tracked since 2024).

About Amanda Omorogbe Np NPPES

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

AMANDA OMOROGBE NP (NPI 1295422525) is an individual gerontology provider in Atlanta, Georgia, licensed in Georgia (RN284331) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295422525
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameAMANDA OMOROGBECredential: NP
Location Address5665 PEACHTREE DUNWOODY RDAtlanta, GA 30342-1764
Mailing Address5665 Peachtree Dunwoody RdAtlanta, GA 30342-1764 · (678) 843-7001
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 18, 2023
Last NPPES UpdateMarch 30, 20252 updates tracked since enumeration
NPPES CertifiedMarch 30, 2025
NPI 1295422525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in GA · RN284331 Licensed in CA · 95033098
Also ListedRegistered NurseTaxonomy 163W00000X · License RN284331 (GA), 95280054 (CA)
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN284331 (GA)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95033098 (CA)
5665 PEACHTREE DUNWOODY RD, Atlanta, GA 30342

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Omorogbe Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870012586
PECOS Enrollment IDI20250527001642
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Anesthesiologist Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Radiology (Radiation Oncology)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Emergency Medicine
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Physician Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Registered Nurse (Critical Care Medicine)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5665 PEACHTREE DUNWOODY RD
SANDY SPRINGS, GA 30342
Nurse Practitioner (Family)
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Anesthesiologist Assistant
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342

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 Amanda Omorogbe's NPI number?

The NPI number for Amanda Omorogbe is 1295422525. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Amanda Omorogbe located?

Amanda Omorogbe practices at 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342. The listed phone number is (678) 843-7001.

What is Amanda Omorogbe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Amanda Omorogbe enrolled in Medicare?

Yes. Amanda Omorogbe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amanda Omorogbe affiliated with any hospitals?

According to CMS data, Amanda Omorogbe is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Omorogbe was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.