Individual provider Active NPI

Jennifer Ifeoma Obi, MD

  • Pulmonary Disease Physician
  • Snellville, GA
National Provider Identifier
1033472261
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
84046 Issued in GA
Practice address
1800 Tree LN Ste 200
Snellville, GA 30078-2060
Phone
(770) 979-0367
Fax
(770) 979-1830
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 84046 GA
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 84046 GA Primary

Addresses

Primary practice location

1800 Tree LN Ste 200
Snellville, GA 30078-2060

Mailing address

2210 Moonhaven Way
Lawrenceville, GA 30043-4954
Phone (571) 282-7960

Other practice location 1

Howard University Hospital
2041 Georgia Avenue
Washington, DC 20060-0001
Phone (202) 865-3676

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202002563 GA Practitioner - Pulmonary Disease 6002249232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia Diagnostic Associates and Clinic, LLCGroup PAC ID 1951655737, 81 clinicians

Practice addresses (Care Compare)

500 Medical Ctr Blvd
Suite 160
Lawrenceville, GA 30046-3331
Phone (770) 979-0367

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as group
Quality
71.9
Promoting interoperability
75
Improvement activities
40
Cost
76.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmever Health LLC Pulmonary Disease Current Accepting new patients
Northeast Georgia Diagnostic Associates and Clinic, LLC Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jan 1, 2026 Accepting new patients
Memorial Health Partners Foundation, Inc Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients

Locations

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (470) 228-7507

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

500 Medical Center Blvd
Ste 160
Lawrenceville, GA 30046
Phone (770) 979-0367

1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300

Interoperability endpoints

  • Direct secure messaging: jenniferobi@negaidx.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1033472261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MOONHAVEN WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434954",
            "telephone_number": "571-282-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TREE LN STE 200",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782060",
            "telephone_number": "770-979-0367",
            "fax_number": "770-979-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Howard University Hospital",
            "address_2": "2041 Georgia Avenue",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200600001",
            "country_code": "US",
            "telephone_number": "202-865-3676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBI",
        "first_name": "JENNIFER",
        "middle_name": "IFEOMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "84046",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "84046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.