Obiamaka N Mora, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

64866 Issued in GA

Practice address

105 Collier Rd NW
Suite 1080
Atlanta, GA 30309-1710

Phone

(404) 352-2850

Fax

(404) 352-0947

NPI assigned

Jun 26, 2008

Last updated

Nov 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omora@mdgyn.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McDaniel & Durrett, P.C

  • Specialist
  • Atlanta, GA
  • NPI 1306978242
  NPD
• Southeastern Gynecologic Oncology at Saint Joseph's, LLC

  • Gynecologic Oncology Physician
  • Atlanta, GA
  • NPI 1750663118
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1124280524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW",
            "address_2": "SUITE 1080",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091710",
            "telephone_number": "404-352-2850",
            "fax_number": "404-352-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW",
            "address_2": "SUITE 1080",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091710",
            "telephone_number": "404-352-2850",
            "fax_number": "404-352-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "OBIAMAKA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116018461",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "64866",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.095905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vetriselvi Moorthy, MD
• Razludin Y Moosajee, MD
• Harrison S Moosavi
• Christopher Mora, MD
• Maria Del Carmen Mora, PSY.D.
• Jordan Alan Moraczewski, MD
• Rumm M Morag, MD
• Chigozie John Morah
• Brigite Morais, SLP
• Andrea Carolina Morales Lara, MD

• Obstetrics & Gynecology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.