Active NPI
Onyebuchi Neita, PA-C
- Physician Assistant
- Newnan, GA
National Provider Identifier
1679913032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005791
- Practice address
- 710 Newnan Crossing Byp
Newnan, GA 30263-2384 - Phone
- (770) 251-5111
- NPI assigned
- Jul 1, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005791 | GA | Primary |
Addresses
Primary practice location
710 Newnan Crossing Byp
Newnan, GA 30263-2384
Mailing address
7300 Ranch Road 2222, Building 1, Ste 200
Austin, TX 78730
Phone (512) 628-0465
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01268623 | Other | GA | RAILROAD MEDICARE |
| 202I972739 | Other | GA | MEDICARE ID |
Other names 1
- Onyebuchi McCrea
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131125000418 | GA | Practitioner - Physician Assistant | 9537395413 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epiphany Dermatology of Georgia, LLC
Practice addresses (Care Compare)
1975 Hwy 54 W
Suite 250
Peachtree City, GA 30269-4796
Phone (770) 251-5111
710 Newnan Crossing Byp
Suite 100
Newnan, GA 30263-2384
Phone (770) 251-5111
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 83.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- onyebuchi.neita@epiphanyderm.emadirect.md
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": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1679913032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 RANCH ROAD 2222, BUILDING 1, STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78730",
"telephone_number": "512-628-0465",
"fax_number": "512-233-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NEWNAN CROSSING BYP",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302632384",
"telephone_number": "770-251-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEITA",
"first_name": "ONYEBUCHI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "005791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01268623",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "202I972739",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ONYEBUCHI",
"last_name": "MCCREA",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.