Provider Demographics
NPI:1891686648
Name:HUGHES, SUMITA (PMHNP, RN)
Entity type:Individual
Prefix:
First Name:SUMITA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PMHNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 COUNTRY LAKE DR SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-6764
Mailing Address - Country:US
Mailing Address - Phone:770-256-4651
Mailing Address - Fax:
Practice Address - Street 1:1465 COUNTRY LAKE DR SW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-6764
Practice Address - Country:US
Practice Address - Phone:770-256-4651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN295798363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health