Individual provider Active NPI

Obinna Emmanuel Uzoho, OD

  • Student in an Organized Health Care Education/Training Program
  • Woodstock, GA
National Provider Identifier
1932934262
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
915 Ridgewalk Pkwy Ste 425
Woodstock, GA 30188-0119
Phone
(770) 592-7413
NPI assigned
Sep 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

915 Ridgewalk Pkwy Ste 425
Woodstock, GA 30188-0119

Mailing address

1227 Fawndale Dr NW
Kennesaw, GA 30152-3959
Phone (404) 834-3825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1932934262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 FAWNDALE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523959",
            "telephone_number": "404-834-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 RIDGEWALK PKWY STE 425",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301880119",
            "telephone_number": "770-592-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOHO",
        "first_name": "OBINNA",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.