Individual provider Active NPI

Nnaemezie Emmanuel Odioemene, M.D

  • Nephrology Physician
  • Austell, GA
National Provider Identifier
1982831616
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
68461 Issued in GA
Practice address
4444 Austell Rd
Austell, GA 30106-1844
Phone
(678) 460-2700
Fax
(877) 784-4013
NPI assigned
Jun 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 68461 GA Primary

Addresses

Primary practice location

4444 Austell Rd
Austell, GA 30106-1844

Mailing address

4444 Austell Rd
Austell, GA 30106-1844
Phone (678) 460-2700

Other practice location 1

4019 Johns Rd Ste 100
Dallas, GA 30132-3420
Phone (678) 460-2700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000367 GA Practitioner - Internal MedicinePractitioner - Nephrology 9133363112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cobb Nephrology Hypertension Associates, PCGroup PAC ID 3577469196, 7 clinicians

Practice addresses (Care Compare)

4444 Austell Rd
Austell, GA 30106-1844
Phone (678) 460-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68461GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Nephrology Hypertension Associates, PC Nephrology CurrentSince Aug 1, 2014 Accepting new patients
24 On Physicians, PC CurrentSince Aug 15, 2013 Accepting new patients
24 On Physicians, P.C. CurrentSince Aug 15, 2013 Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

3875 Austell Rd
Ste 101
Austell, GA 30106
Phone (770) 941-8100

1660 Mulkey Rd
Ste B
Austell, GA 30106
Phone (678) 460-2700

4444 Austell Rd
Austell, GA 30106
Phone (678) 460-2700

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

4019 Johns Rd
#100
Dallas, GA 30132
Phone (678) 460-2700

4019 Johns Rd
Ste 100
Dallas, GA 30132
Phone (678) 460-2700

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

7117 S Sweetwater Rd
Ste 101
Lithia Spgs, GA 30122

200 Cobb Pkwy N
Ste 318
Marietta, GA 30062
Phone (678) 460-2700

4110 Austell Powder Springs Rd
Powder Springs, GA 30127

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHBDA

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1982831616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061844",
            "telephone_number": "678-460-2700",
            "fax_number": "877-784-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061844",
            "telephone_number": "678-460-2700",
            "fax_number": "877-784-4013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4019 Johns Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301323420",
            "country_code": "US",
            "telephone_number": "678-460-2700",
            "fax_number": "877-784-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODIOEMENE",
        "first_name": "NNAEMEZIE",
        "middle_name": "EMMANUEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-21",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "68461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.