Active NPI
Esther Ijeoma Iwotor, NP - C
- Family Nurse Practitioner
- Mableton, GA
National Provider Identifier
1306152871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN109484
- Practice address
- 257 Vinings Retreat VW SW
Mableton, GA 30126-2574 - Phone
- (404) 387-1320
- NPI assigned
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN109484 | GA | Primary |
Addresses
Primary practice location
257 Vinings Retreat VW SW
Mableton, GA 30126-2574
Mailing address
257 Vinings Retreat VW SW
Mableton, GA 30126-2574
Phone (770) 948-6767
Other names 1
- Mrs. Esther Ijeoma Nkenke
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101120000051 | GA | Practitioner - Nurse Practitioner | 3779779400 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN109484 | GA | MD | Family Nurse Practitioner |
Interoperability endpoints
- grupomedico.estheriiwotor@160619.advancedmd-direct.com
Organizations & group practices 1
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": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1306152871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 VININGS RETREAT VW SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262574",
"telephone_number": "770-948-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 VININGS RETREAT VW SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262574",
"telephone_number": "404-387-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWOTOR",
"first_name": "ESTHER",
"middle_name": "IJEOMA",
"name_prefix": "Mrs.",
"credential": "NP - C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN109484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ESTHER",
"last_name": "NKENKE",
"middle_name": "IJEOMA",
"prefix": "MRS.",
"credential": "RNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.