Ije Ego Ofodile, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN107027 NP Issued in GA

Practice address

3720 Davinci CT Ste 400
Norcross, GA 30092-7625

Phone

(770) 300-3502

NPI assigned

Mar 20, 2006

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

Credentials

Doctor of Medicine, Nurse Practitioner

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 and National Provider Directory roles.

• Take Care Health Georgia, P.C.

  • Family Nurse Practitioner
  • Kennesaw, GA
  • NPI 1043409964
  NPD (past)
• Rediclinic LLC

  • Clinic/Center
  • Owasso, OK
  • NPI 1528107141
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1881653715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 COOPER LAKES DR",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300172999",
            "telephone_number": "678-478-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 DAVINCI CT STE 400",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300927625",
            "telephone_number": "770-300-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFODILE",
        "first_name": "IJE",
        "middle_name": "EGO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN107027 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Georgia, P.C. (Concentra Medical Center)
• Occupational Healthworx LLC
• Cindy Denise Oden
• Helen Odiakosa
• Aleasha Odom
• Ogles Oxygen, LLC
• Ohana Group LLC
• Ohana Group, LLC
• Raphael Ohayagha, MBA
• Oikos Counseling and Consultation

• Family Nurse Practitioner in Norcross, GA
• Providers in Norcross, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.