Individual provider Active NPI

Ngozi Egondu Okanu, MD

  • Internal Medicine Physician
  • Tifton, GA
National Provider Identifier
1376049072
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
88854 Issued in GA
Practice address
901 18TH St E
Tifton, GA 31794-3648
Phone
(229) 382-7120
NPI assigned
Apr 2, 2018
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 88854 GA Primary
Pulmonary Disease Physician 207RP1001X 34290 MS
Hospitalist Physician 208M00000X 036.167585 IL

Addresses

Primary practice location

901 18TH St E
Tifton, GA 31794-3648

Mailing address

720 Westview Dr SW
Atlanta, GA 30310-1458

Other practice location 1

1225 N State ST
Jackson, MS 39202-2064
Phone (601) 988-5281

Other practice location 2

GME 720 Westview Dr, SW
Atlanta, GA 30310
Phone (404) 756-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ, KY, MS, IL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210629000957 GA Practitioner - Internal Medicine 3678974698 Reassigns benefits to 5 organizations
I20231127002199 AZ Practitioner - Internal Medicine 3678974698 Reassigns benefits to 1 organization
I20240613002857 KY Practitioner - Internal Medicine 3678974698 Reassigns benefits to 1 organization
I20250116002358 MS Practitioner - Internal Medicine 3678974698 Reassigns benefits to 3 organizations
I20250313000160 IL Practitioner - Internal Medicine 3678974698 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians
Greenbrook Physician Services, LLCGroup PAC ID 5597267427, 70 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians
RH Mississippi Hospitalist Medicine LLCGroup PAC ID 0547791873, 74 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-5361

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88854GAMDInternal Medicine Physician
34290MSMDPulmonary Disease Physician
036.167585ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Aug 1, 2021 Accepting new patients
Emory Medical Care Foundation Inc Internal Medicine CurrentSince Nov 18, 2024 Accepting new patients
Medical Foundation of Central Ms CurrentSince Feb 3, 2026 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Feb 9, 2025 Accepting new patients
Deaconess Hospital Inc Hospitalist CurrentSince May 1, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Nov 18, 2024 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Hospitalist CurrentSince Mar 25, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2021 Accepting new patients
Emory Specialty Associates, LLC Internal Medicine CurrentSince Jan 13, 2025 Accepting new patients
Deaconess Hospital Inc CurrentSince May 1, 2024 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Jan 9, 2025 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jul 20, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Feb 9, 2025 Accepting new patients
Greenbrook Physician Services, LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
RH Mississippi Hospitalist Medicine, LLC Hospitalist CurrentSince Jan 1, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Mar 25, 2025 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Jul 20, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Internal Medicine Current Accepting new patients
Medical Foundation of Central Mississippi, Inc. Internal Medicine CurrentSince Feb 3, 2026 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

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

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

Interoperability endpoints

  • Direct secure messaging: nokanu1136047@direct.emory.org
  • Direct secure messaging: nokanu211520@cityofhope.direct-ci.com
  • Direct secure messaging: nokanu5325199@direct.casso.us.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1376049072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 18TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943648",
            "telephone_number": "229-382-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N State ST",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-988-5281",
            "fax_number": "601-974-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "GME 720 Westview Dr, SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30310",
            "country_code": "US",
            "telephone_number": "404-756-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKANU",
        "first_name": "NGOZI",
        "middle_name": "EGONDU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "88854",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "34290",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.167585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.