Individual provider · Type 1 NPI

Mavis O. Peprah, AGNP-C

Nurse Practitioner · Atlanta, GA

NPI number 1780151597 Active

Practice location

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Fax (678) 843-6849

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN223668 (GA)
Adult Health Nurse Practitioner 363LA2200XRN223668 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780151597

Mavis O. Peprah, AGNP-C's National Provider Identifier is 1780151597, issued on Oct 30, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 4, 2025.