Individual provider Active NPI

Chibuzor Steve Eke, MBBCH, MPH, MSN, FNP

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1134670474
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN221151 Issued in GA
Practice address
1668 Mulkey Rd Ste G
Austell, GA 30106-1163
Phone
(404) 585-4964
Fax
(404) 581-5838
NPI assigned
Oct 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 221151 GA
Family Nurse Practitioner 363LF0000X RN221151 GA Primary

Addresses

Primary practice location

1668 Mulkey Rd Ste G
Austell, GA 30106-1163

Mailing address

5878 Graywood Cir SE
Mableton, GA 30126-2894
Phone (770) 866-7016

Other practice location 1

503 Commerce Park Dr SE
Suite E
Marietta, GA 30060-2781
Phone (770) 866-7016

Other practice location 2

480 E Paces Ferry Rd NE Ste 8
Atlanta, GA 30305-3324
Phone (770) 866-7016

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
I20220114000770 GA Practitioner - Nurse Practitioner 2062804446 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
221151GAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambrosia Functional Medicine LLC CurrentSince Dec 1, 2021 Accepting new patients
Vpa PC CurrentSince Jul 11, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Mar 4, 2025 Accepting new patients
Vpa PC CurrentSince Jul 11, 2025 Accepting new patients

Locations

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

480 E Paces Ferry Rd NE
Ste 8
Atlanta, GA 30305
Phone (770) 866-7016

1668 Mulkey Rd
Ste 116
Austell, GA 30106

1668 Mulkey Rd
Ste G
Austell, GA 30106
Phone (404) 585-4964

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

Organizations & group practices 4

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": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1134670474",
    "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": "770-866-7016"
        },
        {
            "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": [
        {
            "address_1": "503 Commerce Park Dr SE",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300602781",
            "country_code": "US",
            "telephone_number": "770-866-7016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 E Paces Ferry Rd NE Ste 8",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303053324",
            "country_code": "US",
            "telephone_number": "770-866-7016",
            "fax_number": "404-581-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKE",
        "first_name": "CHIBUZOR",
        "middle_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "MBBCH, MPH, MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "221151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN221151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.