Individual provider Active NPI

Helen O Uzokwe, NP-C, DNP

  • Nurse Practitioner
  • College Park, GA
National Provider Identifier
1306018445
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN145805 Issued in GA
Practice address
5337 Old National Hwy
Suite 100
College Park, GA 30349-3208
Phone
(404) 767-7777
Fax
(404) 767-7770
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN145805 GA Primary

Addresses

Primary practice location

5337 Old National Hwy
Suite 100
College Park, GA 30349-3208

Mailing address

5337 Old National Hwy
Suite 100
College Park, GA 30349-3208
Phone (404) 767-7777

Other identifiers 1

IdentifierTypeStateIssuer
003119198CMedicaidGA

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
I20130221000204 GA Practitioner - Nurse Practitioner 2860647989 Reassigns benefits to 2 organizations
Practice locations: Riverdale, GA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5337 Old National Hwy
Suite 100
College Park, GA 30349-3305
Phone (404) 767-7777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN145805GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Star Family Healthcare and Wellness Center LLC CurrentSince Dec 9, 2012 Accepting new patients
Star Family Healthcare and Wellness Center PastSince Dec 9, 2012 Accepting new patients

Locations

5337 Old National Hwy
Ste 100
College Park, GA 30349
Phone (404) 767-7777

34 Upper Riverdale Rd SE
Ste 100
Riverdale, GA 30274
Phone (770) 629-6122

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDEBCA/Endpoint/GDEBCA

Organizations & group practices 3

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": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1306018445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 OLD NATIONAL HWY",
            "address_2": "SUITE 100",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493208",
            "telephone_number": "404-767-7777",
            "fax_number": "404-767-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 OLD NATIONAL HWY",
            "address_2": "SUITE 100",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493208",
            "telephone_number": "404-767-7777",
            "fax_number": "404-767-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOKWE",
        "first_name": "HELEN",
        "middle_name": "O",
        "credential": "NP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN145805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119198C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

Verify at the official NPI Registry.