Active NPI
Nkechi Okechukwu, M.D
- Pediatrics Physician
- Gray, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 76084
- Practice address
- 4292 Gray Hwy
Gray, GA 31032-5900 - Phone
- (478) 986-2500
- Fax
- (478) 864-1288
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 76084 | GA | Primary |
Addresses
Primary practice location
4292 Gray Hwy
Gray, GA 31032-5900
Mailing address
PO Box 371
Wrightsville, GA 31096-0371
Phone (478) 864-3448
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210226001396 | GA | Practitioner - Pediatric Medicine | 0345415147 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston Hospitals Inc
Practice addresses (Care Compare)
1118 Ga Hwy 96
Kathleen, GA 31047-2111
Phone (478) 975-6890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76084 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Hospitals Inc | Current | Accepting new patients | |
| Houston Hospitals Inc | Current | Accepting new patients |
Locations
520 GA Highway 247 S
Ste 501
Bonaire, GA 31005
Phone (478) 352-7110
1118 GA Highway 96
Kathleen, GA 31047
Phone (478) 922-4281
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
233 N Houston Rd
Ste 140A
Warner Robins, GA 31093
Phone (478) 923-2843
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1093971616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371",
"city": "WRIGHTSVILLE",
"state": "GA",
"postal_code": "310960371",
"telephone_number": "478-864-3448",
"fax_number": "478-864-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4292 GRAY HWY",
"city": "GRAY",
"state": "GA",
"postal_code": "310325900",
"telephone_number": "478-986-2500",
"fax_number": "478-864-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKECHUKWU",
"first_name": "NKECHI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "76084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gray, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.