Individual provider Active NPI

Ngozi Okeani, NP

  • Nurse Practitioner
  • Powder Springs, GA
National Provider Identifier
1447318936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN124521 Issued in GA
Practice address
5230 Dallas Hwy
Powder Springs, GA 30127-4263
Phone
(713) 935-0333
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN124521 GA Primary

Addresses

Primary practice location

5230 Dallas Hwy
Powder Springs, GA 30127-4263

Mailing address

4270 Bristlecone Dr NW
Marietta, GA 30064-1572
Phone (770) 514-9942

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070329000041 GA Practitioner - Nurse Practitioner 7113021262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415

2444 Dallas Hwy SW
Marietta, GA 30064-2529
Phone (678) 732-1512

5230 Dallas Hwy
Powder Springs, GA 30127-4263
Phone (678) 732-1523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Aug 1, 2017 Accepting new patients
Rediclinic LLC Past Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

4120 Austell Rd
Austell, GA 30106
Phone (678) 732-1524

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516

5230 Dallas Hwy
Powder Springs, GA 30127
Phone (678) 732-1523

695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447318936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 BRISTLECONE DR NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641572",
            "telephone_number": "770-514-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 DALLAS HWY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274263",
            "telephone_number": "713-935-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEANI",
        "first_name": "NGOZI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN124521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

Verify at the official NPI Registry.