Individual provider Active NPI

Onameyore Utuama, MD

  • Hospitalist Physician
  • Roswell, GA
National Provider Identifier
1184068660
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
86191 Issued in GA
Practice address
3000 Hospital Blvd
1St Floor - Room 110
Roswell, GA 30076
Phone
(770) 751-2777
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME126916 FL
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 86191 GA Primary

Addresses

Primary practice location

3000 Hospital Blvd
1St Floor - Room 110
Roswell, GA 30076

Mailing address

805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340
Phone (770) 792-5451

Other practice location 1

18550 US Highway 441
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address outuama125011@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160811002616 FL Practitioner - Family Practice 8022302199 Reassigns benefits to 1 organization
I20200821000893 GA Practitioner - HospitalistPractitioner - Family Practice 8022302199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Central Florida PA CurrentSince Jul 1, 2016 Accepting new patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Mar 21, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2021 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Physicians of Central Florida, LLC CurrentSince Jul 1, 2016 Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince Mar 4, 2021 Accepting new patients
Wellstar North Fulton Hospital, Inc Past Accepting new patients
Emory Specialty Associates, LLC Family Medicine Past Accepting new patients

Locations

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

18550 US Highway 441
Ste A
Mount Dora, FL 32757
Phone (352) 735-3755

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

3000 Hospital Blvd
Fl 1
Roswell, GA 30076
Phone (770) 751-2777

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1184068660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SANDY PLAINS ROAD",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666340",
            "telephone_number": "770-792-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL BLVD",
            "address_2": "1ST FLOOR - ROOM 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-751-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18550 US HIGHWAY 441",
            "address_purpose": "LOCATION",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "country_code": "US",
            "telephone_number": "352-735-3755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UTUAMA",
        "first_name": "ONAMEYORE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126916",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "86191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "outuama125011@directwellstar.org",
            "affiliation": "N",
            "address_1": "3000 HOSPITAL BLVD",
            "address_2": "1ST FLOOR - ROOM 110",
            "city": "ROSWELL",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.