Individual provider Active NPI

Ibisa Comfort Onyirimba, DNP, FNP-C, APRN

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1003665647
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN283747 Issued in GA
Practice address
2481 Hurt Rd SW
Marietta, GA 30008-6029
Phone
(404) 934-2420
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN283747 GA Primary

Addresses

Primary practice location

2481 Hurt Rd SW
Marietta, GA 30008-6029

Mailing address

2481 Hurt Rd SW
Marietta, GA 30008-6029
Phone (770) 863-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203003579 GA Practitioner - Nurse Practitioner 8325531775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1041 Kinnett Rd
Covington, GA 30016-9163
Phone (678) 231-4002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN283747GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity House of Atlanta Ministries Inc. CurrentSince Nov 18, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1003665647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 HURT RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086029",
            "telephone_number": "770-863-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 HURT RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086029",
            "telephone_number": "404-934-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYIRIMBA",
        "first_name": "IBISA",
        "middle_name": "COMFORT",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN283747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.