Active NPI
Health Medix Center Inc
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1891313276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEALTH MEDIX CENTER INC
- Practice address
- 5401 Boreal Way SW
Atlanta, GA 30331-9215 - Phone
- (470) 429-1431
- NPI assigned
- Jul 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benedicta N Okoye, DNP. FNP-C. PMHNP-BC
- Title
- Chief Executive Office
- Phone
- (470) 429-1431
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
5401 Boreal Way SW
Atlanta, GA 30331-9215
Mailing address
5401 Boreal Way SW
Atlanta, GA 30331-9215
Phone (470) 429-1431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922453117 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6572 River Park Dr
Ste 101I
Riverdale, GA 30274
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1922453117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603238400000",
"number": "1891313276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 BOREAL WAY SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303319215",
"telephone_number": "470-429-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 BOREAL WAY SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303319215",
"telephone_number": "470-429-1431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH MEDIX CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-11",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A",
"authorized_official_last_name": "OKOYE",
"authorized_official_first_name": "BENEDICTA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
"authorized_official_telephone_number": "470-429-1431",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP. FNP-C. PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922453117",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Health Education Assessment and Leadership Inc
- Health Education Assessment and Leadership, Inc
- Health Education, Assessment and Leadership, Inc
- Health Harbor LLC
- Health Hop Solutions LLC
- Health Organizers LLC
- Healthcare & Emergency Solutions, LLC
- Healthcare Advocates, LLC
- Healthcare Equity Solutions
- Healthcare Mobility
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.