Individual provider Active NPI

Adaora Augustina Okeke, NP

  • Family Nurse Practitioner
  • Flowery Branch, GA
National Provider Identifier
1093288755
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06180300 Issued in GA
Practice address
5628 Chinook CT
Flowery Branch, GA 30542-2776
Phone
(770) 965-0499
NPI assigned
Jan 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN224895 GA
Family Nurse Practitioner 363LF0000X F06180300 GA Primary

Addresses

Primary practice location

5628 Chinook CT
Flowery Branch, GA 30542-2776

Mailing address

5628 Chinook CT
Flowery Branch, GA 30542-2776
Phone (678) 943-6481

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
I20191010001868 GA Practitioner - Nurse Practitioner 1850622556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care at Home Medical Practice PCGroup PAC ID 5092164533, 5 clinicians

Practice addresses (Care Compare)

Atlanta, GA 30339
Phone (844) 401-4663

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06180300GAMDFamily Nurse Practitioner

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": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1093288755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 CHINOOK CT",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422776",
            "telephone_number": "678-943-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 CHINOOK CT",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422776",
            "telephone_number": "770-965-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "ADAORA",
        "middle_name": "AUGUSTINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN224895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F06180300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

Verify at the official NPI Registry.