Obiageli Felicia Ihewunwa, A-GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN178705 Issued in GA

Practice address

4006 Preston Place LN
Powder Springs, GA 30127-2896

Phone

(770) 331-3165

NPI assigned

Jul 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1306579941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 PRESTON PLACE LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272896",
            "telephone_number": "770-331-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 PRESTON PLACE LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272896",
            "telephone_number": "770-331-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEWUNWA",
        "first_name": "OBIAGELI",
        "middle_name": "FELICIA",
        "credential": "A-GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN178705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Powder Springs, GA
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.