Individual provider Active NPI

Queen-Esther Adaobi Raphael

  • Phlebotomy Technician
  • Snellville, GA
National Provider Identifier
1376493106
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
E2D2Y8B6 Issued in GA
Practice address
2336 Wisteria Dr
Snellville, GA 30078-6191
Phone
(678) 756-1005
NPI assigned
Jan 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Microbiology Specialist/Technologist 246QM0900X GA
Phlebotomy Technician 246RP1900X E2D2Y8B6 GA Primary

Addresses

Primary practice location

2336 Wisteria Dr
Snellville, GA 30078-6191

Mailing address

2665 Ridge Manor Dr
Dacula, GA 30019-2780
Phone (470) 469-1945

Other names 1

  • Ijeoma Anita Ogbu-Rapheal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E2D2Y8B6GAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Burgeon Medix LLC Current Accepting new patients

Organizations & group practices 1

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": "1769817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1376493106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 RIDGE MANOR DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192780",
            "telephone_number": "470-469-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786191",
            "telephone_number": "678-756-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "QUEEN-ESTHER",
        "middle_name": "ADAOBI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-31",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Microbiology",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "E2D2Y8B6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IJEOMA",
            "last_name": "OGBU-RAPHEAL",
            "middle_name": "ANITA",
            "credential": "BSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.