MR. FRANKLIN IGBIN OMOROGBE (NPI# 1538613179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538613179 |
| Entity Type | Individual |
| Full Name | MR. FRANKLIN IGBIN OMOROGBE |
| Credential | PMHNP |
| Practice Address |
3073 Panthersville Rd Decatur GA 30034-3828 |
| Mailing Address |
3219 Tuscan Ridge Dr Snellville GA 30039-4798 |
| Practice Telephone | 4042125467 |
| Mailing Telephone | 4049360564 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN203405 | GA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN203405 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 Lawrenceville Suwanee Rd, Lawrenceville, GA 300464325 | 6782092411 | |
| 445 Winn Way, Decatur, GA 300301707 | 4042943745 |
| Street Address |
3073 PANTHERSVILLE RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841270998 | Gary A. Debacher | Psychologist | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2006-01-17 |
| 1679173686 | Kamirah Nishae Johnson | Social Worker | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2020-10-28 |
| 1407361918 | Comeika Towanna Norwood-sprinkle | Respiratory Therapist, Registered | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2017-12-06 |
| 1265807135 | Damika Green | Respiratory Therapist, Registered | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2015-12-03 |
| 1306242508 | Sonja Bush | Respiratory Therapist, Certified | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2014-11-15 |
| 1407137250 | Georgia Regional Hospital | General Acute Care Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2011-09-07 |
| 1235454257 | Ga Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2010-04-01 |
| 1538398375 | Aaron Cornelius Clark | Psychiatry & Neurology | 3073 Panthersville Rd, Decatur, GA 30034 | 2009-07-14 |
| 1548497324 | Huzaifa Abukari Seidu | Psychiatry & Neurology | 3073 Panthersville Rd, Georgia Regional Hospital, Decatur, GA 30034-3828 | 2009-06-18 |
| 1124254941 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934988 | Tara Michelle Ridgeway | Nurse Practitioner | 2132 E Decatur St, Decatur, IL 62521-3148 | 2019-10-22 |
| 1245790914 | Faridy Maya Mombeleur | Nurse Practitioner | 2000 S Fm 51 Ste C, Decatur, TX 76234-3702 | 2019-03-20 |
| 1891204152 | Jasmine Keamber Mckinley | Nurse Practitioner | 1615 Kathy Ln Sw Ste 102, Decatur, AL 35603-1026 | 2017-09-29 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1306477138 | Obiageri Ohayagha | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2020-01-30 |
| 1407405905 | Erica Y Taylor | Nurse Practitioner | 120 E Trinity Pl, Decatur, GA 30030-3302 | 2019-09-06 |
| 1205309267 | Ashley M Garner | Nurse Practitioner | 320 E Central Ave, Decatur, IL 62521-4665 | 2019-01-02 |
| 1801379516 | Lauren Colegrove | Nurse Practitioner | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2018-09-09 |
| 1619459542 | Okechukwu Nnaji | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2018-09-06 |
| 1235634635 | Olubukola Funmi Olatoto | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030 | 2018-03-27 |
| Find all providers in DECATUR | ||||
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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.