MTRAC HEALTHCARE
NPI 1467106153
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since February 10, 2022
105 EMERALD LAKE CT, FAYETTEVILLE, GA 30215(404) 513-2868 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mtrac Healthcare NPPES

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

MTRAC HEALTHCARE (NPI 1467106153) is a healthcare organization registered as a psychiatric/mental health in Fayetteville, Georgia and active in the NPI registry since February 2022. The organization lists Fatimat Agbojeyin, Owner, as its authorized official.

NPPES Registry Identity

NPI1467106153
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMTRAC HEALTHCARE
Location Address105 EMERALD LAKE CTFayetteville, GA 30215-7748
Mailing Address105 Emerald Lake CtFayetteville, GA 30215-7748 · (404) 513-2868
Organization SubpartNo
Authorized OfficialFatimat AgbojeyinOwner · (404) 513-2868
Enumeration DateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
NPI 1467106153 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
105 EMERALD LAKE CT, Fayetteville, GA 30215

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
105 EMERALD LAKE CT
FAYETTEVILLE, GA 30215

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 Mtrac Healthcare's NPI number?

The NPI number for Mtrac Healthcare is 1467106153. It was assigned to this organization in the NPPES registry on February 10, 2022.

Where is Mtrac Healthcare located?

Mtrac Healthcare is located at 105 Emerald Lake Ct, Fayetteville, GA 30215. The listed phone number is (404) 513-2868.

What is Mtrac Healthcare'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 Mtrac Healthcare was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.