Individual provider Active NPI

Henry U Elukeme, MD

  • Family Medicine Physician
  • Morrow, GA
National Provider Identifier
1851031413
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
103178 Issued in GA
Practice address
1331 Mount Zion Rd
Morrow, GA 30260-2357
Phone
(770) 629-3217
NPI assigned
Mar 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 103178 GA Primary

Addresses

Primary practice location

1331 Mount Zion Rd
Morrow, GA 30260-2357

Mailing address

1331 Mount Zion Rd
Morrow, GA 30260-2357
Phone (770) 629-3217

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305000632 GA Practitioner - Family Practice 5092236240 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103178GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical Center Morrow, LLC CurrentSince Apr 20, 2025 Accepting new patients
PMR Georgia Holding, LLC CurrentSince Apr 20, 2025 Accepting new patients
Jencare Neighborhood Medical Center West End, LLC PastSince Aug 4, 2014 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1851031413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MOUNT ZION RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602357",
            "telephone_number": "770-629-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MOUNT ZION RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602357",
            "telephone_number": "770-629-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELUKEME",
        "first_name": "HENRY",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "103178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.