Organization Active NPI

Obiora Internal Medicine LLC

  • Internal Medicine Physician
  • Roswell, GA
National Provider Identifier
1902752082
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OBIORA INTERNAL MEDICINE LLC
Practice address
702 Bombay LN
Roswell, GA 30076-5817
Phone
(678) 356-0484
Fax
(678) 356-0480
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Jeffrey C Obiora, MDNPI 1023547460
Title
Physician/Owner
Phone
(678) 650-5724

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

702 Bombay LN
Roswell, GA 30076-5817

Mailing address

702 Bombay LN
Roswell, GA 30076-5817
Phone (678) 356-0484

National Provider Directory

National Provider Directory

Locations

702 Bombay Ln
Roswell, GA 30076
Phone (678) 356-0484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1902752082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765817",
            "telephone_number": "678-356-0484",
            "fax_number": "678-356-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765817",
            "telephone_number": "678-356-0484",
            "fax_number": "678-356-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBIORA INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "OBIORA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "678-650-5724",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.