Fehintola Ezeudu

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

230957 Issued in GA

Practice address

1126 Chandler Way Dr
Lawrenceville, GA 30045-8163

Phone

(404) 512-5956

NPI assigned

Aug 23, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1902525181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 CHANDLER WAY DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458163",
            "telephone_number": "404-512-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 CHANDLER WAY DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458163",
            "telephone_number": "404-512-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEUDU",
        "first_name": "FEHINTOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "230957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celenia Exum, RN
• Eye Care of Georgia
• Eye Institute of North Georgia, PC
• Franklin C Ezeoke
• Uzoamaka Chinatu Ezeonu, RN
• Edith N Eziakor, BS
• Amaka Ezigbo, NP
• F&G Home Care Services
• Celma Fabello
• Andrew Factor, DC

• Acute Care Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.