First Lithonia Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FIRST LITHONIA MEDICAL CENTER INC

Practice address

2505 Panola Rd
Suite a
Lithonia, GA 30058

Phone

(770) 323-6458

Fax

(770) 323-6462

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Isioma Theresa Okobah, M.DNPI 1992797229

Title

Ceo

Phone

(770) 323-6458

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHHJBD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isioma Theresa Okobah, MD

  • Family Medicine Physician
  • Lithonia, GA
  • NPI 1992797229
  Medicare reassignment Authorized official
• Bethel U Godwins

  • Family Nurse Practitioner
  • East Point, GA
  • NPI 1902310568
  Medicare reassignment NPD

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1427244698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965185",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300660004",
            "telephone_number": "678-984-8079",
            "fax_number": "770-323-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 PANOLA RD",
            "address_2": "SUITE A",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058",
            "telephone_number": "770-323-6458",
            "fax_number": "770-323-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LITHONIA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "OKOBAH",
        "authorized_official_first_name": "ISIOMA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-323-6458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Fergerson
• Joseph Fernandez
• Kristin Ferris, B.S.W
• Ferrol Mental and Medical Services
• Sechin Firmin, DMD
• Kenyatta D Fisher, LPN
• Five Sisters Care Inc
• Shana Marie Fleming
• Flex Care of Ga LLC
• Flora'S Loving Hands

• Family Medicine Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.