IGWEBUIKE MOSES UDEZE (NPI# 1225509573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225509573 |
| Entity Type | Individual |
| Full Name | IGWEBUIKE MOSES UDEZE |
| Credential | NP |
| Practice Address |
300 Colonial Center Pkwy Ste 100n Roswell GA 30076-4892 |
| Practice Telephone | 4046935565 |
| Practice Fax Number | 9202122048 |
| Mailing Telephone | 4046935565 |
| Mailing Fax Number | 9202122048 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN228894 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN228894 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4910 Brown Leaf Dr, Powder Springs, GA 301278918 | 4046935565 |
| Street Address |
300 COLONIAL CENTER PKWY STE 100N |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598132417 | Ashley Smith | Developmental Therapist | 300 Colonial Center Pkwy Ste 100n, Roswell, GA 30076-4892 | 2015-08-26 |
| 1821632688 | Full Spectrum Aba of Georgia LLC | Assistant Behavior Analyst | 300 Colonial Center Pkwy Ste 100n, Roswell, GA 30076-4892 | 2019-11-04 |
| 1407323199 | Dpi of Georgia, LLC | Nurse Anesthetist, Certified Registered | 300 Colonial Center Pkwy Ste 100n, Roswell, GA 30076-4892 | 2018-10-31 |
| 1417329657 | Lashanda Murphy | Developmental Therapist | 300 Colonial Center Pkwy Ste 100n, Roswell, GA 30076-4892 | 2015-10-27 |
| 1235508862 | Teddrick Mccreary | Developmental Therapist | 300 Colonial Center Pkwy Ste 100n, Roswell, GA 30076-4892 | 2015-09-24 |
| 1114395340 | Cherronica Ormond | Developmental Therapist | 300 Colonial Center Pkwy Ste 100n, Roswell, GA 30076-4892 | 2015-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869506 | Stephanie Regine Garba | Nurse Practitioner | 4320 Calibre Creek Pkwy, Roswell, GA 30076-4549 | 2020-10-21 |
| 1376141101 | Virginia Ann Peterson | Nurse Practitioner | 330 Clear Creek Ct, Roswell, GA 30076-3013 | 2020-10-14 |
| 1326657453 | Kali Kundomal | Nurse Practitioner | 2500 Brandon Way, Roswell, NM 88201-9799 | 2020-07-24 |
| 1003374968 | We Care General Medical Clinic, LLC | Nurse Practitioner | 615 Colonial Park Dr Ste 103, Roswell, GA 30075-3773 | 2019-03-08 |
| 1760987002 | Meredith Mcwhirter | Nurse Practitioner | 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 | 2018-03-28 |
| 1063934818 | Darla Gene Melton | Nurse Practitioner | 350 W Country Club Rd Ste 105, Roswell, NM 88201-5222 | 2017-07-13 |
| 1144756255 | Kimberly Paris | Nurse Practitioner | 2500 Hospital Blvd Ste 320, Roswell, GA 30076-4947 | 2017-05-10 |
| 1508318494 | Keisha Ellis | Nurse Practitioner | 601 W Country Club Rd Ste 102, Roswell, NM 88201-5227 | 2016-10-26 |
| 1063812741 | Susanne Lester-bennett | Nurse Practitioner | 1805 Old Alabama Rd, Suite 250, Roswell, GA 30076-2259 | 2014-08-29 |
| 1558791665 | Elizabeth Simone | Nurse Practitioner | 8280 Overview Ct, Roswell, GA 30076-3922 | 2013-11-26 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.