Immaculata Chimezie Okere, NP

Individual provider Active NPI Family Nurse Practitioner · Southeast, Atlanta, GA

NPI 1124490438 · NPPES record last updated Feb 25, 2016

Key facts

NPI
1124490438
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN131127 (GA)
Practice address
56 Jesse Hill Jr Drive
Southeast, Atlanta, GA 30303
Phone
(404) 616-6661
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Medical Care Foundation Inc (1,003 clinicians)

Practice addresses (Care Compare)

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital · Atlanta, GA · CCN 110079

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100 (group)
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160208000896 GA Practitioner - Nurse Practitioner 2264736586 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation Current
since Jan 1, 2016
Accepting new patients
Grady Memorial Hospital Corporation Current
since Jan 1, 2016
Accepting new patients
Emory Medical Care Foundation Current
since Apr 1, 2016
Accepting new patients
Emory Medical Care Foundation Inc Current
since Apr 1, 2016
Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN131127 GA Yes

Addresses

Primary practice location

56 Jesse Hill Jr Drive
Southeast, Atlanta, GA 30303

Mailing address

P.O Box 26178
80 Jesse Hill Jr. Drive SE
Atlanta, GA 30303
Phone (404) 616-6680

Other names

  • Immaculata Chimezie Chikere Former name

Sources for this page

Verify at the official NPI Registry.