Active NPI
Esther Ufot
- Family Medicine Physician
- East Point, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 080381
- Practice address
- 2084 Headland Dr
East Point, GA 30344 - Phone
- (404) 965-5691
- Fax
- (404) 698-1478
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 080381 | GA | Primary |
Addresses
Primary practice location
2084 Headland Dr
East Point, GA 30344
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other practice location 1
2124 Candler Rd
Decatur, GA 30032-5572
Phone (404) 836-0272
Other practice location 2
2124 Candler Rd
Decatur, GA 30032-5572
Phone (404) 836-0272
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080381 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Georgia Holding, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184
2720 Metropolitan Pkwy SW
Atlanta, GA 30315
Phone (404) 761-0375
3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180
2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272
2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184
1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184
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": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1962898593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "305-628-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 HEADLAND DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "30344",
"telephone_number": "404-965-5691",
"fax_number": "404-698-1478"
}
],
"practiceLocations": [
{
"address_1": "2124 Candler Rd",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300325572",
"country_code": "US",
"telephone_number": "404-836-0272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 Candler Rd",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300325572",
"country_code": "US",
"telephone_number": "404-836-0272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UFOT",
"first_name": "ESTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "080381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.