Individual provider Active NPI

Ahaoma Esochaghi

  • Psychiatric/Mental Health Nurse Practitioner
  • Tifton, GA
National Provider Identifier
1023715844
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN333757 Issued in GA
Practice address
223 2ND St E Ste B
Tifton, GA 31794-0410
Phone
(229) 339-3721
Fax
(229) 472-9151
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN333757 GA Primary

Addresses

Primary practice location

223 2ND St E Ste B
Tifton, GA 31794-0410

Mailing address

330 Cody Dr
Macon, GA 31216-8211
Phone (267) 455-2960

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
I20260106002604 GA Practitioner - Nurse Practitioner 7810483211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3885 Ga Hwy 112 S
Doerun, GA 31744-4207

PO Box
Tifton, GA 31793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN333757GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tiftarea Psychiatric and Counseling Services, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

223 2nd St E
Ste B
Tifton, GA 31794
Phone (229) 339-3721

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1023715844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CODY DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312168211",
            "telephone_number": "267-455-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 2ND ST E STE B",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317940410",
            "telephone_number": "229-339-3721",
            "fax_number": "229-472-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESOCHAGHI",
        "first_name": "AHAOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN333757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.