Individual provider Active NPI

Edward Maduabuchi Okeke, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1407656549
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP334320 Issued in GA
Practice address
2467 Old Cornelia Hwy
Gainesville, GA 30507-7853
Phone
(678) 960-2700
Fax
(678) 513-5833
NPI assigned
Mar 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP334320 GA Primary

Addresses

Primary practice location

2467 Old Cornelia Hwy
Gainesville, GA 30507-7853

Mailing address

710 Dacula Rd Ste 4a-266
Dacula, GA 30019-7061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250724003417 FL Practitioner - Nurse Practitioner 8729595889 Reassigns benefits to 2 organizations
I20250805001555 GA Practitioner - Nurse Practitioner 8729595889 Reassigns benefits to 3 organizations
I20260123000136 SC Practitioner - Nurse Practitioner 8729595889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dennis MD PLLCGroup PAC ID 7416254990, 72 clinicians

Practice addresses (Care Compare)

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN-NP334320GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dennis MD PLLC Psychiatric/Mental Health CurrentSince Oct 27, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jul 15, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jul 15, 2025 Accepting new patients
Edvera Integrative Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

1200 Winder Hwy
Dacula, GA 30019
Phone (404) 474-8704

710 Dacula Rd
Ste 4A266
Dacula, GA 30019
Phone (919) 396-1693

11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159

1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087

3541 N Crossing Cir
Valdosta, GA 31602
Phone (229) 244-4200

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

221 Adley Way
Greenville, SC 29607
Phone (661) 378-0517

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 4

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": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1407656549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 DACULA RD STE 4A-266",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 OLD CORNELIA HWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305077853",
            "telephone_number": "678-960-2700",
            "fax_number": "678-513-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "EDWARD",
        "middle_name": "MADUABUCHI",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP334320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.