Active NPI
Okechukwu Nnaji, NP
- Psychiatric/Mental Health Nurse Practitioner
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201876
- Practice address
- 445 Winn Way
Decatur, GA 30030-1707 - Phone
- (404) 294-3745
- NPI assigned
- Sep 6, 2018
- Last updated
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201876 | GA | Primary |
Addresses
Primary practice location
445 Winn Way
Decatur, GA 30030-1707
Mailing address
8431 Browns Mill Trce
Lithonia, GA 30038-7509
Phone (770) 841-4763
Other practice location 1
8431 Browns Mill Trce
Lithonia, GA 30038-7509
Phone (770) 841-4763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN201876 | Other | GA | NP NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201876 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Community Service Board | Current | Accepting new patients | |
| Lithonia Behavioral Health Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| McIntosh Trail Community Service Board | Current | Accepting new patients | |
| Unitedhands Health & Wellness Clinic LLC | Current | Accepting new patients | |
| McIntosh Trail Community Service Board | Current | Accepting new patients | |
| Cci Transportation Services Inc | Current | Accepting new patients | |
| Dekalb Community Service Board | Past | Accepting new patients |
Locations
445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745
450 Winn Way
Decatur, GA 30030
Phone (404) 294-3745
455 Winn Way
Decatur, GA 30030
Phone (404) 294-3745
1209 Greenbelt Dr
Griffin, GA 30224
Phone (770) 358-8250
1435 N Expressway
Ste 301
Griffin, GA 30223
Phone (678) 516-5179
1115 Mount Zion Rd
Ste J
Morrow, GA 30260
Phone (404) 883-9140
Interoperability endpoints
- https://api.platform.athenahealth.com/22835/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Community/Behavioral Health Agency
- Griffin, GA
- NPI 1336317270
-
- Primary Care Nurse Practitioner
- Morrow, GA
- NPI 1366045130
-
- Non-emergency Medical Transport (VAN)
- Lithonia, GA
- NPI 1477111011
-
- Psychiatric/Mental Health Nurse Practitioner
- Lithonia, GA
- NPI 1164315156
-
- Home Health Agency
- Lithonia, GA
- NPI 1881909919
-
- In Home Supportive Care Agency
- Lithonia, GA
- NPI 1306204672
-
- Community/Behavioral Health Agency
- Decatur, GA
- NPI 1073686978
-
- Community/Behavioral Health Agency
- Griffin, GA
- NPI 1386708212
-
- Community/Behavioral Health Agency
- Decatur, GA
- NPI 1134264179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1619459542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8431 BROWNS MILL TRCE",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300387509",
"telephone_number": "770-841-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301707",
"telephone_number": "404-294-3745"
}
],
"practiceLocations": [
{
"address_1": "8431 Browns Mill Trce",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "300387509",
"country_code": "US",
"telephone_number": "770-841-4763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NNAJI",
"first_name": "OKECHUKWU",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "201876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP NUMBER",
"identifier": "RN201876",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.