Princewill U Ehirim, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

048508 Issued in GA

Practice address

500 Medical Center Blvd
Suite 200
Lawrenceville, GA 30045-8708

Phone

(678) 916-7053

Fax

(678) 826-0867

NPI assigned

Jun 28, 2005

Last updated

Apr 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurosurgery

Education

Meharry Medical College School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Princewill Ehirim MD PC

  dba Center for Advanced Neurological Surgery

  • Neurological Surgery Physician
  • Lawrenceville, GA
  • NPI 1871769521
  Medicare reassignment Authorized official
• N Ga Neurosurgical Assoc

  • Specialist
  • Lawrenceville, GA
  • NPI 1255529251
  NPD (past)
• Northwest Broward Neurosurgery and Spine LLC

  • Neurological Surgery Physician
  • Margate, FL
  • NPI 1699966440
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastside Medical Center, LLC

  dba Piedmont Eastside Medical Center

  • General Acute Care Hospital
  • Snellville, GA
  • NPI 1467406132
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Gwinnett

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1902802515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458708",
            "telephone_number": "678-916-7053",
            "fax_number": "678-826-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458708",
            "telephone_number": "678-916-7053",
            "fax_number": "678-826-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHIRIM",
        "first_name": "PRINCEWILL",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "048508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00890326B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Mandip Egbe
• Agbor Ndiparrey Egbewatt, MD
• Anthony Egejuru
• Ehi Pharmacy Solutions, LLC.
• Humphrey Nosayaba Ehigiator, PHARMD
• Aleda Ehmer
• Yekaterina Eichel, M.D.
• Karina Nicole Einsmann-Albaladejo
• Robert A Eisenberg, MD
• Helen Ejogo

• Neurological Surgery Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.