Angel Enwemadu, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN222027 Issued in GA

Practice address

7710 McGinnis Ferry Rd
Suwanee, GA 30024-1622

Phone

(770) 268-4361

Fax

(470) 251-6068

NPI assigned

Sep 27, 2022

Last updated

Jan 14, 2025By 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

Other names 1

• Angel Edebeatu Former name

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Aylo Health, LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1013018811
  Medicare reassignment Care Compare group NPD
• Georgia Highlands Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cumming, GA
  • NPI 1174529192
  Medicare reassignment NPD
• Health Choice Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Buford, GA
  • NPI 1679948988
  Medicare reassignment NPD
• Shalom Medical Group LLC

  dba Shalom Medical Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Suwanee, GA
  • NPI 1861636052
  NPD (past) Authorized official
• Aylo Health, LLC

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1073829073
  NPD
• Aylo Health, LLC

  • Diagnostic Radiology Physician
  • Locust Grove, GA
  • NPI 1194433219
  NPD
• Georgia Highlands Medical Services Inc

  • Federally Qualified Health Center (FQHC)
  • Buford, GA
  • NPI 1427762707
  NPD
• Georgia Highlands Medical Services, Inc.

  dba Georgia Highlands Medical Services, Inc. - Canton

  • Federally Qualified Health Center (FQHC)
  • Canton, GA
  • NPI 1063419422
  NPD
• Health Choice Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Sugar Hill, GA
  • NPI 1760857072
  NPD
• Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1710929914
  NPD (past)
• Aylo Health, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Stockbridge, GA
  • NPI 1922831445
  NPD (past)

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1316661002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 RIVERWOOD PKWY SE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393304",
            "telephone_number": "770-914-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MCGINNIS FERRY RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241622",
            "telephone_number": "770-268-4361",
            "fax_number": "470-251-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENWEMADU",
        "first_name": "ANGEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN222027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "EDEBEATU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Suwanee, GA
• Providers in Suwanee, 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 Jan 14, 2025; 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.