Caroline Iniobong Kuforiji, PMHNP-BC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

275659 Issued in GA

Practice address

2151 Peachford Rd
Atlanta, GA 30338-6534

Phone

(770) 455-3200

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Caroline Iniobong Udokang Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dekalb Community Service Board

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1073686978

  Single Specialty

  NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1215539432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 PEACHFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386534",
            "telephone_number": "770-455-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 PEACHFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386534",
            "telephone_number": "770-455-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFORIJI",
        "first_name": "CAROLINE",
        "middle_name": "INIOBONG",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "275659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "UDOKANG",
            "middle_name": "INIOBONG",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Elizabeth Kuder
• Gabriel Ty Kuecher, LMSW
• Dana Kuehn, M.S., LPC, LMHC
• Jennifer Lauren Kuehn
• Nelson Kevin Tanefo Kuete, MD
• Logan Suntharam Kugathasan
• Subra Kugathasan, MD
• David T Kuhar, MD
• Rick A. Kuhlman, D.C.
• Amy Diane Kuhmichel, D.M.D

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.