Eka Omowa, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

254559 Issued in GA

Practice address

1397 Manchester Dr NE
Conyers, GA 30012-3882

Phone

(770) 922-0255

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Geode Health of Georgia LLC

  • Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1477265718
  Medicare reassignment NPD
• Psychiatric Professionals of Georgia, LLC

  • Psychiatry Physician
  • Suwanee, GA
  • NPI 1396277968
  Medicare reassignment NPD
• Royal Choice Healthcare Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1093651101
  NPD Authorized official

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1417611898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MANCHESTER DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123882",
            "telephone_number": "770-922-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MANCHESTER DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123882",
            "telephone_number": "770-922-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOWA",
        "first_name": "EKA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "254559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Oliver, FNP
• Lonique Ollivierrre
• Olukayode Olowoselu, PHARM D.
• Olufemi Oluyole
• Omnimed Medical Supply and Equipment L.L.C.
• On Eagle's Wings Counseling Center
• One Global Health
• One Lab Mobile, LLC
• One on One Personal Care LLC
• Oneopto Ga 2 PLLC (The Eye Center)

• Psychiatric/Mental Health Nurse Practitioner in Conyers, GA
• Providers in Conyers, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.