Maureen Nnenna Ozim, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN177694 Issued in GA

Practice address

2755 Green Marsh CT
Decatur, GA 30034-6961

Phone

(770) 713-9770

NPI assigned

Feb 14, 2016

Last updated

Feb 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unique Healthcare & Wellness Center, LLC

  • Primary Care Clinic/Center
  • Decatur, GA
  • NPI 1326836123
  Medicare reassignment NPD Authorized official
• Adexbra Healthcare LLC

  • Primary Care Nurse Practitioner
  • Chicago, IL
  • NPI 1275360851

  GA

  Medicare reassignment NPD
• Unique Healthcare & Staffing Services, LLC

  • Home Health Agency
  • Decatur, GA
  • NPI 1801543301
  NPD Authorized official
• Wellness Connect

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1720456163
  NPD (past)

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

{
    "created_epoch": "1455408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455408000000",
    "number": "1316306764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 GREEN MARSH CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346961",
            "telephone_number": "770-713-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 GREEN MARSH CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346961",
            "telephone_number": "770-713-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZIM",
        "first_name": "MAUREEN",
        "middle_name": "NNENNA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-14",
        "last_updated": "2016-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN177694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey L Owens Day, PHD
• Eileen Marie Owens, LPN
• Shanteria Owens, PHD
• Owls Retreat Inc.
• Olufunmi Rachael Oyewumi
• Leslye Howell Pace, M.D.
• Hailey Christine Wetta Pachciarz, PA-C
• Guadalupe Rosario Pacheco, DC
• Pact Atlanta Pharmacy LLC (Winn Way Pharmacy)
• Pact Atlanta, LLC

• Family Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.