Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn

Nurse Practitioner

115 Bradford Sq Ste B, Fayetteville
  Georgia, 30215-1962
404-736-4343
May or may not accept Medicare Nurse Anesthetist in Fayetteville, Georgia.
Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn is a Fayetteville, Georgia based nurse practitioner. Active license number of Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn is RN170538 for Psych/Mental Health in Georgia. Her current practice location is 115 Bradford Sq Ste B, Fayetteville. Patients can reach her at 404-736-4343 or can fax her at 844-870-7142 and her NPI number (Unique professional ID assigned by NPPES) is 1093506701.
Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn
Specialization: Nurse Practitioner (NP)
Gender:Female
Practice Address:115 Bradford Sq Ste B, Fayetteville,
Georgia, 30215-1962
Phone:404-736-4343
Fax:844-870-7142
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
NPI Number: 1093506701
NPI Enumeration Date: 13 May, 2025
NPI Last Update On: 10 Oct, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn are as mentioned below.
License NumberSpecializationStateStatus
RN170538Psych/Mental Health GeorgiaPrimary
RN170538Registered Nurse GeorgiaSecondary
RN170538Registered Nurse GeorgiaSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
003149239AMedicaidGeorgia
003133861BMedicaidGeorgia
003133861AMedicaidGeorgia
0031333861DMedicaidGeorgia
003315273AMedicaidGeorgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn
7586 Oldham Ln,
Riverdale, Georgia
Zip: 30274-3595
Phone Number: 404-736-4343
Fax Number: 844-270-7142
Patients can reach Sandra I Agazie, Msn, Aprn, Pmhnp-bc, Cmsrn at 115 Bradford Sq Ste B, Fayetteville, Georgia or can call to book an appointment on 404-736-4343.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.