Individual provider Active NPI

Christabel Obumneke Okoye, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1265049969
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN163130 Issued in GA
Practice address
477 Windsor St SW Ste 309
Atlanta, GA 30312-2530
Phone
(404) 688-9202
NPI assigned
Sep 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 163130 GA
Family Nurse Practitioner 363LF0000X RN163130 GA Primary

Addresses

Primary practice location

477 Windsor St SW Ste 309
Atlanta, GA 30312-2530

Mailing address

6207 Nellie CT SE
Mableton, GA 30126-4452
Phone (404) 425-8011

Other practice location 1

6207 Nellie Ct SE
Mableton, GA 30126-4452
Phone (404) 425-8011

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
I20240514002830 GA Practitioner - Nurse Practitioner 2668813270 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163130GAMDFamily Medicine Physician
RN163130GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Black Womens Wellness CBWW Inc CurrentSince Jul 9, 2025 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Apr 8, 2024 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 350-1122

477 Windsor St SW
Ste 309
Atlanta, GA 30312
Phone (404) 688-9202

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

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": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1265049969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 NELLIE CT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301264452",
            "telephone_number": "404-425-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 WINDSOR ST SW STE 309",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122530",
            "telephone_number": "404-688-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6207 Nellie Ct SE",
            "address_purpose": "LOCATION",
            "city": "Mableton",
            "state": "GA",
            "postal_code": "301264452",
            "country_code": "US",
            "telephone_number": "404-425-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOYE",
        "first_name": "CHRISTABEL",
        "middle_name": "OBUMNEKE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "163130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN163130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.