Individual provider Active NPI

Maria Nwokedi Onuorah, NP

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1144410473
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN097700 Issued in GA
Practice address
670 North Ave NW
Suite a Marietta Rheumatology Associates PC
Marietta, GA 30060-1100
Phone
(770) 590-8328
Fax
(770) 590-8231
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN097700 GA Primary

Addresses

Primary practice location

670 North Ave NW
Suite a Marietta Rheumatology Associates PC
Marietta, GA 30060-1100

Mailing address

4909 Great Meadows Rd
Lithonia, GA 30038-2774
Phone (770) 808-7716

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Permanente Medical Group

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
I20121206000419 GA Practitioner - Nurse Practitioner 0042462699 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

1125 Town Ctr Village Dr
McDonough, GA 30253-5970
Phone (678) 583-6610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN097700GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group Nurse Practitioner CurrentSince Apr 10, 2017 Accepting new patients
The Emory Clinic Inc CurrentSince Sep 23, 2012 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Jun 1, 2014 Accepting new patients
Marietta Rheumatology Associates, P.C. PastSince Jan 21, 2022 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1125 Town Center Village Dr
McDonough, GA 30253
Phone (678) 583-6557

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIDAA

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1144410473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 GREAT MEADOWS RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382774",
            "telephone_number": "770-808-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 NORTH AVE NW",
            "address_2": "SUITE A MARIETTA RHEUMATOLOGY ASSOCIATES PC",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601100",
            "telephone_number": "770-590-8328",
            "fax_number": "770-590-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUORAH",
        "first_name": "MARIA",
        "middle_name": "NWOKEDI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN097700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1125 Town Center Village Dr",
            "city": "McDonough",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302535970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.