Individual provider Active NPI

Austina Mercy Njoku

  • Family Nurse Practitioner
  • Powder Springs, GA
National Provider Identifier
1942783477
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN241459 Issued in GA
Practice address
3061 Staglin Dr
Powder Springs, GA 30127-5081
Phone
(404) 444-7502
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN241459 GA Primary

Addresses

Primary practice location

3061 Staglin Dr
Powder Springs, GA 30127-5081

Mailing address

3061 Staglin Dr
Powder Springs, GA 30127-5081
Phone (404) 444-7502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191008004003 GA Practitioner - Nurse Practitioner 9234460007 Reassigns benefits to 1 organization
I20250211002886 WA Practitioner - Nurse Practitioner 9234460007 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN241459GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina CurrentSince Nov 1, 2022 Accepting new patients
Lifesource of North Carolina CurrentSince Nov 1, 2022 Accepting new patients
Connectionswa, LLC CurrentSince Dec 1, 2024 Accepting new patients
Connectionswa, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

11410 NE 122nd Way
Ste S250
Kirkland, WA 98034
Phone (425) 650-4005

11410 NE 122nd Way
Ste 100
Kirkland, WA 98034
Phone (425) 650-4005

Interoperability endpoints

  • Direct secure messaging: austina.njoku.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: austina.njoku.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1942783477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 STAGLIN DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275081",
            "telephone_number": "404-444-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 STAGLIN DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275081",
            "telephone_number": "404-444-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOKU",
        "first_name": "AUSTINA",
        "middle_name": "MERCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN241459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

Verify at the official NPI Registry.