Active NPI
Ekan Iwok Essien, M.D., M.P.H
- General Practice Physician
- Duluth, GA
National Provider Identifier
1619140761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 61772
- Practice address
- 2775 Premiere Pkwy Ste 360
Duluth, GA 30097-4933 - Phone
- (770) 910-7798
- NPI assigned
- Apr 9, 2008
- Last updated
- Aug 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 061772 | GA | |
| General Practice Physician | 208D00000X | 61772 | GA | Primary |
Addresses
Primary practice location
2775 Premiere Pkwy Ste 360
Duluth, GA 30097-4933
Mailing address
PO Box 94771
Atlanta, GA 30377-1771
Phone (678) 390-5263
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619140761 | Other | WA | N/A |
| 1619140761 | Other | VA | N/A |
| 1619140761 | Other | SC | N/A |
| 1619140761 | Other | AZ | N/A |
| 1619140761 | Other | OK | N/A |
| 1619140761 | Other | NM | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61772 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1619140761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94771",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303771771",
"telephone_number": "678-390-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 PREMIERE PKWY STE 360",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974933",
"telephone_number": "770-910-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSIEN",
"first_name": "EKAN",
"middle_name": "IWOK",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "061772",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "61772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1619140761",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1619140761",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1619140761",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1619140761",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1619140761",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1619140761",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.