Organization Active NPI

Nneamaka Nwubah LLC

Doing business as Amaka Aesthetics

  • Plastic Surgery Physician
  • Brentwood, TN
National Provider Identifier
1982312542
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
NNEAMAKA NWUBAH LLC
Doing business as
Amaka Aesthetics
Practice address
5409 Maryland Way Ste 115
Brentwood, TN 37027-1076
Phone
(615) 804-6113
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Dr. Nneamaka Agochukwu Nwubah, MDNPI 1497013346
Title
MD
Phone
(504) 813-9655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

5409 Maryland Way Ste 115
Brentwood, TN 37027-1076

Mailing address

424 Church St Ste 2000
Nashville, TN 37219-3304

Other practice location 1

2001 Mallory Ln Ste 302
Franklin, TN 37067-8236
Phone (504) 813-9655

Other identifiers 1

IdentifierTypeStateIssuer
Q079008MedicaidTN

Other names 1

  • Amaka Aesthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228001955 TN Part B Supplier - Clinic/Group Practice 4688044142 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, TN

National Provider Directory

National Provider Directory

Locations

424 Church St
Ste 2000
Nashville, TN 37219
Phone (615) 496-8145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1982312542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST STE 2000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372193304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY STE 115",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271076",
            "telephone_number": "615-804-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Mallory Ln Ste 302",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678236",
            "country_code": "US",
            "telephone_number": "504-813-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NNEAMAKA NWUBAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "NWUBAH",
        "authorized_official_first_name": "NNEAMAKA",
        "authorized_official_middle_name": "AGOCHUKWU",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "504-813-9655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q079008",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amaka Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.