Ernest U Amukamara

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN201832 NP Issued in GA

Practice address

5615 Old National Hwy Ste D
Atlanta, GA 30349-3817

Phone

(770) 997-2900

Fax

(678) 949-9310

NPI assigned

Feb 4, 2008

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

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, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Absolute Health Family & Urgent Care Clinic

  • Family Nurse Practitioner
  • Riverdale, GA
  • NPI 1851894588
  Medicare reassignment Authorized official
• A Vision 4 Hope

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1932044807
  NPD

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356529101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 OLD NATIONAL HWY. SUITE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303493244",
            "telephone_number": "770-997-2900",
            "fax_number": "678-949-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 OLD NATIONAL HWY STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303493817",
            "telephone_number": "770-997-2900",
            "fax_number": "678-949-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7574 GA 85",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302743447",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMUKAMARA",
        "first_name": "ERNEST",
        "middle_name": "U",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN201832NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00153300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN201832 NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "37 N DAY",
            "identifier": "1235300799",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "101 LUDLOW STREET",
            "identifier": "1932370483",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1150 SPRINGFIELD AVENUE",
            "identifier": "1972778413",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCHC TAX ID",
            "identifier": "222747589",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "444 WILLIAM STREET",
            "identifier": "1194996645",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "982 BROAD STREET",
            "identifier": "1548431091",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "741 BROADWAY",
            "identifier": "1740345693",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanaz Amouzegar Asli, DC
• Esther Amprofi
• Jenine Nicole Ampudia, OT
• Avni Amratia, MD
• Chukwudi Bato Amu, MD
• Chioma Amuzie
• Ginikachi Ozioma Amuzie
• Amy Dickinson Integrative Counseling, LLC
• An Extra Hand Home Care LLC.
• Ngozi Felicia Anachebe, MD

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, 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 Mar 17, 2018; 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.