NPI age
7 years
Enumerated 2018-09-28
● Active Type 2 · Organization
Mindset Healthcare, Pc
Mindset Healthcare, Pc is 1 of 1622 nurse practitioner organizations in Georgia.
Primary specialty
Nurse Practitioner
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Otubaga
Aprn-Bc/nurse Practioner
Last NPPES update
2023-04-25
Source: monthly bulk 2026-05
How this organization compares
Across 1622 active nurse practitioner providers in Georgia.
NPI age
7 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 37% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
135 Bradford Sq Ste B
Fayetteville, GA 302151902
Mailing address
5465 Highway 42 Unit 246
Ellenwood, GA 302944042
Authorized official
Omolola A Otubaga
Aprn-Bc/nurse Practioner
📞 4044441904
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Tianna Crooks, NP Nurse Practitioner NPI 1093509028
- Roselande Domond, LPC Counselor NPI 1366847444
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
-
Clinical Medical Laboratory(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1622 Nurse Practitioner providers in Georgia?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.