Grace Otikeke Ohunyon

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN231497 Issued in GA

Practice address

1700 Medical Way
Snellville, GA 30078-2195

Phone

(404) 278-0007

NPI assigned

Jan 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1508636929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3152",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300521970",
            "telephone_number": "404-358-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782195",
            "telephone_number": "404-278-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHUNYON",
        "first_name": "GRACE",
        "middle_name": "OTIKEKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN231497",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN231497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roosevelt Offoha, MD
• Cameron Ogden, DPT
• Amber Dell Oglesby, NP-C
• Elizabeth Ogunbo, RBT
• John Ohanu
• Seyi Ojo, DDS
• Roseline Ogheneseme Okala, MSW
• Cynthia Okoro, MD
• Agatha Nonye Okoye
• Christiana K. Olaga-Buah, MS, CRC, LPC, CGRS

• Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.