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?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.