Oliver Eberechukwu Nosiri

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

048-R-1226 Issued in GA

Practice address

2677 Cimmaron TRL
Lithia Springs, GA 30122-2796

Phone

(770) 734-3934

Fax

(678) 263-4576

NPI assigned

Aug 31, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1992353072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 WASHINGTON DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358141",
            "telephone_number": "770-734-3934",
            "fax_number": "678-263-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 CIMMARON TRL",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222796",
            "telephone_number": "770-734-3934",
            "fax_number": "678-263-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2285 Washington Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301358141",
            "country_code": "US",
            "telephone_number": "770-734-3934",
            "fax_number": "678-263-4576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOSIRI",
        "first_name": "OLIVER",
        "middle_name": "EBERECHUKWU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-31",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": "GA",
            "license": "048-R-1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya T Newman, ASSOCIATE THERAPIST
• Phuong Thao Tran Nguyen, DDS, MSD
• Kenneth Mwangi Njoroge, RN
• Kiristi Norman, DDS
• Latasha Norris
• Yvonne Nyambi
• Daryll Oby, DC
• Chinasa Ogbobe, PMHNP-BC
• Abidemi Oluwaseun Ogunbode
• Gloria Eberechukwu Okoye, FNP

• Nursing Home Administrator in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Nursing Home Administrator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.