Ifeoma Eke, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

52350 Issued in GA

Practice address

5080 Peachtree Blvd
Suite 100
Chamblee, GA 30341-2877

Phone

(404) 785-5437

Fax

(404) 785-8053

NPI assigned

May 31, 2005

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ieke9602@choa.gadirect.net

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1255335584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 PEACHTREE BLVD",
            "address_2": "SUITE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412877",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 PEACHTREE BLVD",
            "address_2": "SUITE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412877",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKE",
        "first_name": "IFEOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "52350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "5080 Peachtree Blvd",
            "address_2": "Suite 100",
            "city": "Chamblee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303412877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Specialist in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.