Matilda Addo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN246687 Issued in GA

Practice address

6705 Lakefield Forrest Dr
Riverdale, GA 30296-1976

Phone

(404) 917-6746

NPI assigned

Dec 11, 2017

Last updated

Dec 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Redemption Healthcare Services, LLC

  • Clinic/Center
  • Riverdale, GA
  • NPI 1679942676
  NPD (past) Authorized official

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1790290922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 LAKEFIELD FORREST DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961976",
            "telephone_number": "404-542-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 LAKEFIELD FORREST DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961976",
            "telephone_number": "404-917-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDO",
        "first_name": "MATILDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN246687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Absolute Healthcare & Rehab Center
• Absolute Personal Care Home
• Christy Jo Morgan Adams
• Shalanda Teneisha Adams
• Sylvia Adams
• Chituru Adele, MD
• Adegboyega Aderibigbe, M.D.
• Christian Boateng Adomako, MBCHB
• Stefan Romuald Awuah Adomako, MD
• Advance Health and Personal Injury (Riverdale Pain and Injury)

• Registered Nurse in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.