Individual provider Active NPI

Florence Chiha Okpor

  • Registered Nurse
  • Atlanta, GA
National Provider Identifier
1639837966
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
167715 Issued in GA
Practice address
10 Park Place,
Atlanta, GA 30303-3030
Phone
(404) 983-0488
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 167715 GA Primary

Addresses

Primary practice location

10 Park Place,
Atlanta, GA 30303-3030

Mailing address

3021 Brombley Dr SE
Conyers, GA 30013-6464
Phone (678) 343-1621

Other names 1

  • Mrs. Florence Chiha Okpor Former name

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
I20250207002447 GA Practitioner - Nurse Practitioner 9032649884

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5536 Old National Hwy
Suite 100
College Park, GA 30349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167715GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1639837966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 BROMBLEY DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136464",
            "telephone_number": "678-343-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE,",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033030",
            "telephone_number": "404-983-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPOR",
        "first_name": "FLORENCE",
        "middle_name": "CHIHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "167715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORENCE",
            "last_name": "OKPOR",
            "middle_name": "CHIHA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.