Active NPI
Ojiaje Tiffany Ehimen
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1730763582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11416
- Practice address
- 1046 Ridge Ave SW
Atlanta, GA 30315-1640 - Phone
- (404) 688-1350
- NPI assigned
- May 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | GA | ||
| Physician Assistant | 363A00000X | 11416 | GA | Primary |
Addresses
Primary practice location
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Mailing address
5075 Huntcrest Dr SW
Mableton, GA 30126-2061
Phone (404) 671-6420
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 49.38 of 100
- Quality
- 4.35
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 76.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Roswell, GA
- NPI 1770713117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1730763582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 HUNTCREST DR SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262061",
"telephone_number": "404-671-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 RIDGE AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303151640",
"telephone_number": "404-688-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHIMEN",
"first_name": "OJIAJE",
"middle_name": "TIFFANY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.
- 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.