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: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About MTRAC HEALTHCARE

This page provides the complete NPI Profile along with additional information for Mtrac Healthcare, a provider established in Fayetteville, Georgia operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1467106153 assigned on February 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Fatimat Agbojeyin (Owner)

NPI
1467106153 Verify this NPI
Provider Name
MTRAC HEALTHCARE
Entity Type
Organization
Location Address
105 EMERALD LAKE CT FAYETTEVILLE, GA 30215
Location Phone
(404) 513-2868
Mailing Address
105 EMERALD LAKE CT FAYETTEVILLE, GA 30215
Mailing Phone
(404) 513-2868
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2022
Last Update Date
02-10-2022
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A nurse practitioner (NP) like Mtrac Healthcare is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FATIMAT AGBOJEYIN

Authorized Official Title
OWNER
Authorized Official Phone
(404) 513-2868

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467106153, enumerated as an "organization" on February 10, 2022.

The provider is located at 105 EMERALD LAKE CT FAYETTEVILLE, GA 30215 and the phone number is (404) 513-2868.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.