Individual provider Active NPI

Emmanuel Eyefia

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1306390349
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN246171 Issued in GA
Practice address
2521 Piedmont Rd NE
2101
Atlanta, GA 30324-6262
Phone
(404) 237-1755
NPI assigned
Aug 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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 RN246171 GA Primary

Addresses

Primary practice location

2521 Piedmont Rd NE
2101
Atlanta, GA 30324-6262

Mailing address

1300 Newton Rd
Albany, GA 31701-3424
Phone (229) 431-3120

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
I20161216001908 GA Practitioner - Nurse Practitioner 8123308764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Area Primary Health Care, IncGroup PAC ID 7911811922, 59 clinicians

Practice addresses (Care Compare)

1300 Newton Rd
Albany, GA 31701-3424
Phone (229) 431-3120

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN246171GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc. Current Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Nov 8, 2016 Accepting new patients
Albany Area Primary Health Care, Inc CurrentSince Nov 8, 2016 Accepting new patients

Locations

1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 995-2990

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

Interoperability endpoints

  • Direct secure messaging: emmanuel.eyefia@aaphc.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1306390349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NEWTON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317013424",
            "telephone_number": "229-431-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 PIEDMONT RD NE",
            "address_2": "2101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246262",
            "telephone_number": "404-237-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYEFIA",
        "first_name": "EMMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN246171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.