Individual provider Active NPI

Esther Ijeoma Iwotor, NP - C

  • Family Nurse Practitioner
  • Mableton, GA
National Provider Identifier
1306152871
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN109484 Issued in GA
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

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
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

LicenseStateTypeSpecialty
APRN109484GAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.