Individual provider Active NPI

Chinonso Okeke

  • Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1962295386
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN283711 Issued in GA
Practice address
3355 McDaniel Rd Apt 13302
Duluth, GA 30096-8663
Phone
(570) 605-9498
NPI assigned
May 28, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN283711 GA
Primary Care Nurse Practitioner 363LP2300X RN283711 GA
Nurse Practitioner 363L00000X RN283711 GA Primary

Addresses

Primary practice location

3355 McDaniel Rd Apt 13302
Duluth, GA 30096-8663

Mailing address

3355 McDaniel Rd Apt 13302
Duluth, GA 30096-8663
Phone (570) 605-9498

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312000907 GA Practitioner - Nurse Practitioner 7719460252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Pain and Interventional Spine DoctorsGroup PAC ID 6103204805, 3 clinicians

Practice addresses (Care Compare)

3780 Holcomb Bridge Rd
Suite D
Peachtree Corners, GA 30092-4877
Phone (470) 641-6444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN283711GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Pain and Interventional Spine Doctors CurrentSince Jan 20, 2026 Accepting new patients

Locations

3780 Holcomb Bridge Rd
Ste D
Peachtree Corners, GA 30092
Phone (470) 275-3626

Organizations & group practices 1

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1962295386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MCDANIEL RD APT 13302",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968663",
            "telephone_number": "570-605-9498",
            "fax_number": "570-605-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MCDANIEL RD APT 13302",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968663",
            "telephone_number": "570-605-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "CHINONSO",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN283711",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN283711",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN283711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.