Oluabo Edogiawerie

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN280906 Issued in GA

Practice address

3008 Estate View CT
Dacula, GA 30019-4015

Phone

(708) 539-1638

NPI assigned

Apr 26, 2023

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nuwa Home Nursing LLC

  • Home Health Agency
  • Dacula, GA
  • NPI 1508441452
  NPD Authorized official
• PMC Long Term Care, LLC

  • Internal Medicine Physician
  • Tyrone, GA
  • NPI 1699396457

  Single Specialty

  NPD

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1245928456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 ESTATE VIEW CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194015",
            "telephone_number": "708-539-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 ESTATE VIEW CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194015",
            "telephone_number": "708-539-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOGIAWERIE",
        "first_name": "OLUABO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN280906",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN280906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Morris Durand
• Brandon Michael Dyer, PT, DPT
• Rayna Elizabeth Dyke
• Ashley Marie Dykes, LCSW
• Stephanie Echeverry
• Edvera Integrative Psychiatry LLC
• Ehi Pharmacy Solutions, LLC.
• David Samuel Eisner, M. D.
• Kanayochukwu I Eke, PHARMD
• Chioma Chinonyerem Ekwueme, MD

• Adult Health Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.