Individual provider Active NPI

Patricia Chinwenwa Ubani-Ebere, MD

  • Internal Medicine Physician
  • Greenville, GA
National Provider Identifier
1932177102
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042618 Issued in GA
Practice address
7007 Williams Street
Suite C Box 120
Greenville, GA 30222
Phone
(706) 672-4818
Fax
(706) 672-1593
NPI assigned
Mar 14, 2006
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042618 GA Primary
General Practice Physician 208D00000X 042618 GA

Addresses

Primary practice location

7007 Williams Street
Suite C Box 120
Greenville, GA 30222

Mailing address

5995 Spring Street
PO Box 324
Warm Springs, GA 31830-0324
Phone (706) 672-0208

Other identifiers 2

IdentifierTypeStateIssuer
000719947AGMedicaidGA
000719947ACMedicaidGA

Other names 1

  • Patricia Chinwenwa Ubani-Ebere Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040506000835 GA Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Emergency Medicine 3072502087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
71.9
Improvement activities
40
Cost
87.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Dec 26, 2017 Accepting new patients
United Emergency Services, Inc. CurrentSince Dec 8, 2003 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Dec 26, 2017 Accepting new patients
Peach Emergency Group LLC CurrentSince Jun 6, 2012 Accepting new patients
Meriwether Healthcare, L.L.C. Current Accepting new patients
Morningside Emergency Physicians LLC Past Accepting new patients
Southwest Medical Clinic,Inc. Internal Medicine Past Accepting new patients
Meriwether County Hospital Authority Past Accepting new patients
North Georgia Emergency Physicians, LLC Past Accepting new patients
Peach Emergency Physicians LLC Past Accepting new patients

Locations

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: patricia.ubaniebere@wsmc.gadirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1932177102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SPRING STREET",
            "address_2": "PO BOX 324",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318300324",
            "telephone_number": "706-672-0208",
            "fax_number": "706-672-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WILLIAMS STREET",
            "address_2": "SUITE C BOX 120",
            "city": "GREENVILLE",
            "state": "GA",
            "postal_code": "30222",
            "telephone_number": "706-672-4818",
            "fax_number": "706-672-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBANI-EBERE",
        "first_name": "PATRICIA",
        "middle_name": "CHINWENWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042618",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "042618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000719947AG",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000719947AC",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "UBANI-EBERE",
            "middle_name": "CHINWENWA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, GA

Sources for this page

Verify at the official NPI Registry.