Ambrosia Functional Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AMBROSIA FUNCTIONAL MEDICINE LLC

Practice address

1668 Mulkey Rd Ste G
Austell, GA 30106-1163

Phone

(404) 585-4964

Fax

(404) 581-5838

NPI assigned

Nov 27, 2021

Last updated

Mar 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chibuzor Steve Eke, FNP-CNPI 1134670474

Title

Managing Partner

Phone

(404) 585-4964

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chibuzor Steve Eke, MBBCH, MPH, MSN, FNP

  • Family Nurse Practitioner
  • Austell, GA
  • NPI 1134670474
  NPD Authorized official

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1073270997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5878 GRAYWOOD CIR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262894",
            "telephone_number": "404-585-4964",
            "fax_number": "404-581-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 MULKEY RD STE G",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061163",
            "telephone_number": "404-585-4964",
            "fax_number": "404-581-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSIA FUNCTIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "EKE",
        "authorized_official_first_name": "CHIBUZOR",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "404-585-4964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134670474",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Amadi
• Ugo Amalaha
• April Amaral, PA-C
• Carlos Alberto Amaya, PA-C
• Amazing Grace EMS Corporation
• Shira Amdur, M.D.
• American Current Care P.a . (Concentra Urgent Care)
• American Health Imaging of Ga LLC (American Health Imaging of NWN LLC)
• American Health Imaging of Georgia LLC (American Health Imaging of West Cobb LLC)
• Amita N Dave, MD PC

• Family Medicine Physician in Austell, GA
• Providers in Austell, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.