Agnes Onyinye Chimaobi

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

RN184666 Issued in GA

Practice address

2326 Magaw LN
Powder Springs, GA 30127-5629

Phone

(678) 361-8919

NPI assigned

Jun 28, 2011

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Agnes Chimaobi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1730475799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 MAGAW LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275629",
            "telephone_number": "678-361-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 MAGAW LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275629",
            "telephone_number": "678-361-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMAOBI",
        "first_name": "AGNES",
        "middle_name": "ONYINYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "GA",
            "license": "RN184666",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN184666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "CHIMAOBI",
            "credential": "RN. BSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Olga Lucia Castano, NP
• Robert Lee Cecil, RPH
• Heather Cheek
• Guerda Cherestal-Ige, RDN, LD
• Cherished Health Care
• Marlene Chin, PT
• Kimberly Chinn
• Michael W Christa, MD
• Oluwafunke Oluwafunke Chukumah, NP
• Church Girl Transportation LLC

• Psychiatric Residential Treatment Facility in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Psychiatric Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.

Verify at the official NPI Registry.