Individual provider Active NPI

Udeme Efik

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1356766281
Registry record updated Mar 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN200231 Issued in GA
Practice address
3001 S Cobb Dr SE
Smyrna, GA 30080-7874
Phone
(678) 309-9977
Fax
(678) 309-9973
NPI assigned
Mar 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN200231 GA Primary

Addresses

Primary practice location

3001 S Cobb Dr SE
Smyrna, GA 30080-7874

Mailing address

3001 S Cobb Dr SE
Smyrna, GA 30080-7874
Phone (678) 309-9977

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
I20150427002259 GA Practitioner - Nurse Practitioner 9335468255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Apr 6, 2015 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Apr 6, 2015 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#88
Atlanta, GA 30303
Phone (404) 616-0879

Organizations & group practices 2

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": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393632000000",
    "number": "1356766281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807874",
            "telephone_number": "678-309-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807874",
            "telephone_number": "678-309-9977",
            "fax_number": "678-309-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFIK",
        "first_name": "UDEME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN200231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.