Individual provider Active NPI

Frances Offiah Idowu, NP-C

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1235529611
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
145774 Issued in GA
Practice address
3240 South Cobb Drive
Smyrna, GA 30082
Phone
(404) 397-9689
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 145774 GA Primary

Addresses

Primary practice location

3240 South Cobb Drive
Smyrna, GA 30082

Mailing address

3240 S Cobb Dr SE
Smyrna, GA 30080-4194
Phone (404) 397-9689

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
I20150501001970 GA Practitioner - Nurse Practitioner 3779802343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

794 S Park St
Carrollton, GA 30117-3826
Phone (678) 732-1511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145774GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Aug 1, 2017 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

794 S Park St
Carrollton, GA 30117
Phone (678) 732-1511

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516

695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531

Organizations & group practices 2

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1235529611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804194",
            "telephone_number": "404-397-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 SOUTH COBB DRIVE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30082",
            "telephone_number": "404-397-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "FRANCES",
        "middle_name": "OFFIAH",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "145774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.