Nurse Practitioner, Psych/Mental Health
SANDRA AGAZIE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1093506701 · enumerated 2025-05-13 · record updated 2026-08-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 7586 OLDHAM LN, RIVERDALE, GA, 30274-3595 (404) 736-4343 Fax (844) 270-7142 Google Maps Apple Maps OpenStreetMap
- Practice location 115 BRADFORD SQ STE B, FAYETTEVILLE, GA, 30215-1962 (404) 736-4343 Fax (844) 870-7142 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License RN170528 GA
- Nurse Practitioner, Adult Health 363LA2200X · License RN170528 GA
- Registered Nurse 163W00000X · License RN170538 GA
- Registered Nurse, Medical-Surgical 163WM0705X · License RN170538 GA
- Nurse Practitioner, Primary Care 363LP2300X · License RN170528 GA
- Nurse Practitioner, Psych/Mental Health 363LP0808X · Primary · License RN170528 GA
In this directory
GA Fayette County Fayetteville Nurse Practitioner, Psych/Mental Health
Locations and evidence
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Practice location
FAYETTEVILLE, GA, 302151962
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.