- Practice location
- 1401 Peachtree St NE Ste 110, Atlanta, GA 30309-3005
- Phone
- 470-749-3520
- Fax
- 470-378-1997
- Last updated
- January 6, 2026
Omotayo Omosebi Abdul is a Nurse Practitioner, Psych/Mental Health based in Atlanta, GA. Omotayo Omosebi Abdul practices in Atlanta, GA and has the professional credentials of PMHNP. The NPI Number for Omotayo Omosebi Abdul is 1417623984 and holds a License No. RN114603 (GA). The current practice location address for Omotayo Omosebi Abdul is 1401 Peachtree St NE Ste 110, Atlanta, GA 30309-3005 and can be reached out via phone at 470-749-3520 and via fax at 470-378-1997.
Provider Profile Details
- NPI Number
- 1417623984
- Provider Name
- Omotayo Omosebi Abdul
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1401 Peachtree St NE Ste 110, Atlanta, GA 30309-3005
- Phone Number
- 470-749-3520
- Fax Number
- 470-378-1997
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 17, 2021
- Last Update Date
- January 6, 2026
- Certification Date
- January 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1401 Peachtree St NE Ste 110
Atlanta, GA 30309-3005 - City
- Atlanta
- State
- Georgia
- Zip
- 30309-3005
- Phone Number
- 470-749-3520
- Fax Number
- 470-378-1997
Provider Business Mailing Address Details
- Address
- 1401 Peachtree St NE Ste 110
Atlanta, GA 30309-3005 - City
- Atlanta
- State
- GA
- Zip
- 30309-3005
- Phone Number
- 470-749-3520
- Fax Number
- 470-378-1997
License Information
- License Number (1)
- RN114603
- License State (1)
- GA
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- APRN-NP114603
- License State (2)
- GA
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Omotayo O Abdul, PMHNP?
The NPI number of Omotayo O Abdul, PMHNP is 1417623984. It was assigned on August 17, 2021 and is currently active in the NPPES registry.
What is the specialty of Omotayo O Abdul, PMHNP?
Omotayo O Abdul, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in GA under license number RN114603.
Where does Omotayo O Abdul, PMHNP practice?
The practice location is 1401 Peachtree St NE Ste 110, Atlanta, GA 30309-3005. The office can be reached at 470-749-3520 (phone) or 470-378-1997 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417623984 directly on the NPPES registry website.