Active NPI
Kofi Ofori-Owusu, RN
- Registered Nurse
- College Park, GA
National Provider Identifier
1174828503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN212027
- Practice address
- 2210 Sullivan Rd Apt 4-6
College Park, GA 30337-6521 - Phone
- (404) 353-8635
- NPI assigned
- Jan 15, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN212027 | GA | Primary |
Addresses
Primary practice location
2210 Sullivan Rd Apt 4-6
College Park, GA 30337-6521
Mailing address
2210 Sullivan Rd Apt 4-6
College Park, GA 30337
Phone (404) 353-8635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN212027 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295049600000",
"number": "1174828503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 SULLIVAN RD APT 4-6",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "30337",
"telephone_number": "404-353-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 SULLIVAN RD APT 4-6",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303376521",
"telephone_number": "404-353-8635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFORI-OWUSU",
"first_name": "KOFI",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-15",
"last_updated": "2011-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN212027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.