Individual provider Active NPI

Cecilia A Nwogu, N.P.

  • Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1841359072
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN113098 Issued in GA
Practice address
3001 S Cobb Dr SE
Suite 103
Smyrna, GA 30080-7809
Phone
(678) 556-9460
Fax
(678) 556-9462
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN113098 GA Primary

Addresses

Primary practice location

3001 S Cobb Dr SE
Suite 103
Smyrna, GA 30080-7809

Mailing address

848 Hiram Acworth Hwy Ste a
Hiram, GA 30141-2399
Phone (678) 324-7021

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
I20080617000346 GA Practitioner - Nurse Practitioner 3971672478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cobbwest Internal Medicine AssociatesGroup PAC ID 1951544139, 3 clinicians

Practice addresses (Care Compare)

848 Hiram Acworth Hwy
Suite a
Hiram, GA 30141-2399
Phone (678) 324-7021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cobbwest Internal Medicine Associates CurrentSince Jul 1, 2017 Accepting new patients
Vision Medical Consulting, P.C. Past Accepting new patients
Thrive Counseling LLC PastSince Nov 29, 2021 Accepting new patients

Locations

2713 Charles Hardy Pkwy
Ste 223
Dallas, GA 30157
Phone (678) 324-7021

848 Hiram Acworth Hwy
Ste 200
Hiram, GA 30141
Phone (678) 324-7021

848 Hiram Acworth Hwy
Hiram, GA 30141
Phone (404) 769-3084

848 Hiram Acworth Hwy
Ste A
Hiram, GA 30141

Organizations & group practices 3

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1841359072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 HIRAM ACWORTH HWY STE A",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412399",
            "telephone_number": "678-324-7021",
            "fax_number": "678-401-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S COBB DR SE",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "678-556-9460",
            "fax_number": "678-556-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOGU",
        "first_name": "CECILIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN113098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.