P Praxis·MD
● Active Type 1 · Individual

Amisa Jiwani, APRN

Nurse Practitioner·Forest Park, GA· NPI 1407641764 · Enumerated 2025 · 1 years on NPI
Jiwani is 1 of 2 nurse practitioner providers in Forest Park and 1 of 929 in Georgia.
NPI age
1 years
Enumerated 2025-04-09
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
1 years
↓ 9 yr below median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-04Enumerated in NPPES
2025 2026

Where they practice

Practice location
4905 Courtney Dr
Forest Park, GA 302971427
📞 4043663636fax 4043620808
Mailing address
4905 Courtney Dr
Forest Park, GA 302971427
📞 4043663636fax 4043620808

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4166 Buford Hwy Ne Ste 11021103
Atlanta, GA 303451081
📞 4043663636fax 4043620808

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN312490 taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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