AMISA JIWANI APRN
NPI 1407641764
Nurse Practitioner - Pediatrics in Forest Park, GA

Active since April 09, 2025
4905 COURTNEY DR, FOREST PARK, GA 30297(404) 366-3636(404) 362-0808 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amisa Jiwani Aprn NPPES

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

AMISA JIWANI APRN (NPI 1407641764) is an individual pediatrics provider in Forest Park, Georgia, licensed in Georgia (RN312490) and active in the NPI registry since April 2025. She maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1407641764
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAMISA JIWANICredential: APRN
Location Address4905 COURTNEY DRForest Park, GA 30297-1427
Mailing Address4905 Courtney DrForest Park, GA 30297-1427 · (404) 366-3636 · Fax (404) 362-0808
Fax(404) 362-0808
Sole ProprietorNo
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
NPI 1407641764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN312490
4905 COURTNEY DR, Forest Park, GA 30297

Secondary Practice Location 1

Location 14166 Buford Hwy NE Ste 11021103Atlanta, GA 30345-1081 · Phone (404) 366-3636 · Fax (404) 362-0808

Other Providers at the Same Location NPPES 16

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

Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297
Nurse Practitioner (Family)
4905 COURTNEY DR
FOREST PARK, GA 30297
Pediatrics (Adolescent Medicine)
4905 COURTNEY DR
FOREST PARK, GA 30297
Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297
Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297
Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297
Nurse Practitioner (Pediatrics)
4905 COURTNEY DR
FOREST PARK, GA 30297
Pediatrics
4905 COURTNEY DR
FOREST PARK, GA 30297

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 Amisa Jiwani's NPI number?

The NPI number for Amisa Jiwani is 1407641764. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Amisa Jiwani located?

Amisa Jiwani practices at 4905 Courtney Dr, Forest Park, GA 30297. The listed phone number is (404) 366-3636.

What is Amisa Jiwani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Amisa Jiwani was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.