Dominic Emeka Nkwocha, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

55280 Issued in GA

Practice address

4015 S Cobb Dr SE
Suite 110B
Smyrna, GA 30080-6303

Phone

(678) 324-8406

Fax

(678) 324-8408

NPI assigned

Jul 21, 2006

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

Psychiatry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

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.

• Denk Inc

  • Psychiatry Physician
  • Smyrna, GA
  • NPI 1942469507
  Medicare reassignment NPD Authorized official
• RV Behavioral, LLC

  dba Ridgeview Institue Smyrna

  • Psychiatric Hospital
  • Smyrna, GA
  • NPI 1427508761
  NPD (past)
• Milestone Centers Inc.

  • Community/Behavioral Health Agency
  • Pittsburgh, PA
  • NPI 1841218757
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1942221718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301260766",
            "telephone_number": "678-324-8406",
            "fax_number": "678-324-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE",
            "address_2": "SUITE 110B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806303",
            "telephone_number": "678-324-8406",
            "fax_number": "678-324-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWOCHA",
        "first_name": "DOMINIC",
        "middle_name": "EMEKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "55280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "55280",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William James Nichols, MD
• Nicole Tholmer, LPC LLC
• Elizabeth Morgan Niesman, DPT
• Nina K. Schlachter, DO, P.C.
• Yvonne Patrice Nixson
• Chinwendu Calis Nnagbo, DDS
• Rose H Noel-Miller, NP
• Andrea Lea Norman
• Elizabeth Norman
• Devono Cornelius Norton, DC

• Psychiatry Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.