Healthcare Provider Details

I. General information

NPI: 1922804376
Provider Name (Legal Business Name): FRANCIS KAJUMBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 DANIELLS BRIDGE RD STE 161
ATHENS GA
30606-6196
US

IV. Provider business mailing address

2470 DANIELLS BRIDGE RD STE 161
ATHENS GA
30606-6196
US

V. Phone/Fax

Practice location:
  • Phone: 470-478-5066
  • Fax: 888-232-0405
Mailing address:
  • Phone: 470-478-5066
  • Fax: 888-232-0405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN316187
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: