Fidelis Chinomso Orji, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN238216 Issued in GA

Practice address

766 Nottingham Dr
Douglasville, GA 30134-5820

Phone

(678) 499-7868

NPI assigned

Jun 15, 2019

Last updated

Mar 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TX, AL, PA4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Villagehealth DM LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1598273211

  AL, GA, PA, TX

  Medicare reassignment Care Compare group NPD
• Lofty Healthcare Services

  • Primary Care Clinic/Center
  • Douglasville, GA
  • NPI 1275213068
  NPD Authorized official
• BC Collective of Ga LLC

  • Clinic/Center
  • Atlanta, GA
  • NPI 1700746237
  Medicare reassignment

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1841850500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 NOTTINGHAM DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345820",
            "telephone_number": "678-499-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 NOTTINGHAM DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345820",
            "telephone_number": "678-499-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORJI",
        "first_name": "FIDELIS",
        "middle_name": "CHINOMSO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-15",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN238216",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN238216",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN238216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Stop Medical Services (One Stop Medical Clinic)
• Beatrice Gekondo Onkware, NP
• Chinomnso Ekeke Onyekaba, MD
• Open MRI of Georgia, Inc (MRI & Imaging of Georgia-Douglasville)
• Orbexus Practitioners LLC
• Ortho Sport and Spine Physicians Douglasville
• Orthoatlanta, LLC
• Orthoatlanta, LLC
• Santos Efrain Ortiz
• Akinyi Osano, DAC, LAC. DOM

• Adult Health Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.

Verify at the official NPI Registry.