Active NPI
Chinwenwa Onwubiko
- Nurse Practitioner
- Roswell, GA
National Provider Identifier
1023619764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN225814
- Practice address
- 300 Colonial Center Pkwy
Roswell, GA 30076-4899 - Phone
- (404) 693-5565
- Fax
- (920) 212-2048
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN225814 | GA | Primary |
Addresses
Primary practice location
300 Colonial Center Pkwy
Roswell, GA 30076-4899
Mailing address
4910 Brown Leaf Dr
Powder Springs, GA 30127-8918
Phone (678) 389-0742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN225814 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merit Health | Single Specialty | Current | 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": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1023619764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 BROWN LEAF DR",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301278918",
"telephone_number": "678-389-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COLONIAL CENTER PKWY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764899",
"telephone_number": "404-693-5565",
"fax_number": "920-212-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONWUBIKO",
"first_name": "CHINWENWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN225814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.