Individual provider Active NPI

Ogonna Adaobi Iwuora, M.D.

  • Neurology Physician
  • Stockbridge, GA
National Provider Identifier
1295969665
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
71512 Issued in GA
Practice address
135 N Park PL Ste 200
Stockbridge, GA 30281-7209
Phone
(678) 289-7960
Fax
(678) 289-7961
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 71512 GA Primary

Addresses

Primary practice location

135 N Park PL Ste 200
Stockbridge, GA 30281-7209

Mailing address

135 N Park PL Ste 200
Stockbridge, GA 30281-7209
Phone (678) 289-7960

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203001539 GA Practitioner - Neurology 9638491509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

135 N Park PL
Suite 200
Stockbridge, GA 30281-7209
Phone (678) 289-7960

Hospital & facility affiliations

  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71512GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Aug 5, 2019 Accepting new patients
Piedmont Cardiology of Atlanta, LLC PastSince Aug 5, 2019 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1700 Tree Ln
Ste 470
Snellville, GA 30078
Phone (404) 255-2918

350 Country Club Dr
Ste D
Stockbridge, GA 30281
Phone (678) 289-7700

135 N Park Pl
Ste 200
Stockbridge, GA 30281
Phone (678) 289-7960

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1295969665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N PARK PL STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817209",
            "telephone_number": "678-289-7960",
            "fax_number": "678-289-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PARK PL STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817209",
            "telephone_number": "678-289-7960",
            "fax_number": "678-289-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUORA",
        "first_name": "OGONNA",
        "middle_name": "ADAOBI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "71512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.