Individual provider Active NPI

Chinwe Ukwuoma

  • Family Nurse Practitioner
  • Union City, GA
National Provider Identifier
1528878055
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN286924 Issued in GA
Practice address
4406 Ravenwood Dr
Union City, GA 30291-6039
Phone
(404) 889-1787
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN286924 GA Primary

Addresses

Primary practice location

4406 Ravenwood Dr
Union City, GA 30291-6039

Mailing address

4406 Ravenwood Dr
Union City, GA 30291-6039

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
I20251125003586 GA Practitioner - Nurse Practitioner 1759873805 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

Practice addresses (Care Compare)

3715 Northside Pkwy NW
BLDG 2 100
Atlanta, GA 30327-2822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN286924GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. Single Specialty CurrentSince Aug 18, 2025 Accepting new patients

Locations

350 Boulevard SE
Atlanta, GA 30312
Phone (401) 688-6731

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

4115 Glenwood Rd
Decatur, GA 30032
Phone (404) 284-6414

2787 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

4595 Cantrell Rd
Flowery Branch, GA 30542
Phone (770) 967-2070

1990 Lakeside Pkwy
Ste 170
Tucker, GA 30084
Phone (770) 938-1757

Organizations & group practices 2

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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1528878055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 RAVENWOOD DR",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302916039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 RAVENWOOD DR",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302916039",
            "telephone_number": "404-889-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKWUOMA",
        "first_name": "CHINWE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN286924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

Verify at the official NPI Registry.