Organization Active NPI

Merit Health

  • Family Nurse Practitioner
  • Powder Springs, GA
National Provider Identifier
1235831512
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MERIT HEALTH
Doing business as
Merit Health
Practice address
4910 Brown Leaf Dr
Powder Springs, GA 30127-8918
Phone
(404) 693-5565
Fax
(920) 212-2048
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Igwebuike Moses Udeze, APRN
Title
Ceo
Phone
(404) 693-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4910 Brown Leaf Dr
Powder Springs, GA 30127-8918

Mailing address

3721 New Macland Rd Ste 200-193
Powder Springs, GA 30127-2000
Phone (404) 693-5565

Other names 1

  • Merit Health Doing business as

National Provider Directory

National Provider Directory

Locations

3721 New Macland Rd
Ste 200193
Powder Springs, GA 30127
Phone (404) 693-5565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1235831512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 NEW MACLAND RD STE 200-193",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272000",
            "telephone_number": "404-693-5565",
            "fax_number": "920-212-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 BROWN LEAF DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301278918",
            "telephone_number": "404-693-5565",
            "fax_number": "920-212-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "UDEZE",
        "authorized_official_first_name": "IGWEBUIKE",
        "authorized_official_middle_name": "MOSES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-693-5565",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merit Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.