NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN
NPI 1902591472
Nurse Practitioner - Psychiatric/Mental Health in Stone Mountain, GA
About Nimba Integrative Practice Llc Stone Mountain NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN (NPI 1902591472) is a healthcare organization registered as a psychiatric/mental health in Stone Mountain, Georgia and active in the NPI registry since April 2023. The organization lists Asata Kamara Aprn, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nimba Integrative Practice Llc Stone Mountain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nimba Integrative Practice LLC Stone Mountain, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nimba Integrative Practice LLC's NPI number?
The NPI number for Nimba Integrative Practice LLC is 1902591472. It was assigned to this organization in the NPPES registry on April 10, 2023. The provider is doing business as Nimba Integrative Practice LLC Stone Mountain.
Where is Nimba Integrative Practice LLC located?
Nimba Integrative Practice LLC is located at 5300 Memorial Dr Ste 101, Stone Mountain, GA 30083. The listed phone number is (470) 918-9719.
What is Nimba Integrative Practice LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nimba Integrative Practice LLC enrolled in Medicare?
Yes. Nimba Integrative Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nimba Integrative Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nimba Integrative Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nimba Integrative Practice LLC was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nimba Integrative Practice Llc Stone Mountain · NPI 1902591472
Psychiatric/Mental Health organization in Stone Mountain, Georgia. Organization record, active in the CMS NPPES registry since April 10, 2023.
## Identity
- **NPI:** 1902591472 (Entity type: Organization)
- **Enumerated:** April 10, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Legal business name:** Nimba Integrative Practice Llc
- **Organization subpart:** Yes (part of None)
- **Authorized official:** Asata Aprn, OWNER
## Practice location
- **Address:** 5300 MEMORIAL DR STE 101, Stone Mountain, GA 30083-3154
- **Phone:** (470) 918-9719
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1902591472) · Data from the CMS NPPES public registry.