Active NPI
Otobong Digbani, AGACNP-BC
- Adult Health Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN305246
- Practice address
- 1364 Clifton Rd NE
Atlanta, GA 30322-0047 - Phone
- (404) 712-2000
- NPI assigned
- Jun 17, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP145538 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | RN305246 | GA | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Atlanta, GA 30322-0047
Mailing address
4618 Harbor Sham St
Rosharon, TX 77583-0047
Phone (713) 899-6819
Other practice location 1
4618 Harbor Sham St
Rosharon, TX 77583-0047
Phone (713) 899-6819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP145538 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Current | Accepting new patients |
Locations
3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806
8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348
3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731
Interoperability endpoints
- odigbani59078@direct.emory.org
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": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1972129823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4618 HARBOR SHAM ST",
"city": "ROSHARON",
"state": "TX",
"postal_code": "775830047",
"telephone_number": "713-899-6819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220047",
"telephone_number": "404-712-2000"
}
],
"practiceLocations": [
{
"address_1": "4618 Harbor Sham St",
"address_purpose": "LOCATION",
"city": "Rosharon",
"state": "TX",
"postal_code": "775830047",
"country_code": "US",
"telephone_number": "713-899-6819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIGBANI",
"first_name": "OTOBONG",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP145538",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN305246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
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- Lisa M. Difrancesco, M.D.
- Lorenzo Difrancesco, M.D.
- Michelle Digaetano
- Nicholas Digaetano, ATC
- Digestive Care Consultants, LLC
- Digestive Healthcare of Ga, P.C.
- Digestive Healthcare of Georgia Endoscopy Center Mountainside
- Digestive Healthcare of Georgia Endoscopy Center Mountainside
- Danesha Tiarra Diggs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.