Individual provider Active NPI

Inza Owusu-Yaw

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1316463565
Registry record updated Aug 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
146422 Issued in GA
Practice address
2005 Prince Ave
Athens, GA 30606-6032
Phone
(706) 208-9700
NPI assigned
Aug 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 146422 GA Primary

Addresses

Primary practice location

2005 Prince Ave
Athens, GA 30606-6032

Mailing address

1021 Holcomb CT
Bogart, GA 30622-2391
Phone (706) 338-7742

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
I20241219004380 GA Practitioner - Nurse Practitioner 0042747628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

1400 Live Oak LN
BLDG 100
Athens, GA 30606-5548
Phone (731) 394-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146422GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health LLC Nurse Practitioner CurrentSince Aug 11, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 11, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 11, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1503100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503100800000",
    "number": "1316463565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 HOLCOMB CT",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222391",
            "telephone_number": "706-338-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066032",
            "telephone_number": "706-208-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-YAW",
        "first_name": "INZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-19",
        "last_updated": "2017-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "146422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.