ONYEBUCHI NWAOKOLO


Address: 500 Lanier Ave W Ste 103c, Fayetteville, GA 30214-7640
Phone: 4042188934

ONYEBUCHI NWAOKOLO (NPI# 1639603707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639603707
Entity Type Individual
Full Name ONYEBUCHI NWAOKOLO
Practice Address 500 Lanier Ave W Ste 103c
Fayetteville
GA 30214-7640
Mailing Address 1012 Spaniel Ter
Hampton
GA 30228-5951
Practice Telephone 4042188934
Mailing Telephone 4042188934
Enumeration Date 2017-04-16
Last Update Date 2019-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN216945 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 500 LANIER AVE W STE 103C
City FAYETTEVILLE
State GA
Zip Code 30214-7640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891266466 Glofusion LLC Home Infusion 500 Lanier Ave W Ste 103c, Fayetteville, GA 30214-7640 2018-12-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114300100 Jennifer Oxford Nurse Practitioner 2629 N Sierra Ave, Fayetteville, AR 72703-3370 2015-07-08
1982228748 Priscilla Anne Locklear Nurse Practitioner 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2020-06-07
1548881279 Divine Family Practice and Urgent Care, Pllc Nurse Practitioner 526 Sandhurst Dr, Fayetteville, NC 28304-4426 2020-05-05
1790305746 Andrew Joseph Sanchez Nurse Practitioner 745 Glynn St S, Fayetteville, GA 30214-2049 2020-04-20
1356984280 Taylor Anne Schubert Nurse Practitioner 2109 Valleygate Dr Ste 201, Fayetteville, NC 28304-3571 2019-10-23
1245690288 Shenilla Solomon Nurse Practitioner 2300 Ramsey Street, Fayetteville, NC 28301 2016-03-03
1114385374 Tiffany Michelle Jackson Nurse Practitioner 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3901 2016-02-03
1164887873 Simpleclinic Pllc Nurse Practitioner 1074 Southern Ave, Fayetteville, NC 28306-1766 2015-12-22
1467877340 Taesha Cybille Nicole Winford Nurse Practitioner 3 East Appleby Road, Suite 301, Fayetteville, AR 72703 2014-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639784788 Natasha Allen Nurse Practitioner 4177 Pelham Cir, Lithonia, GA 30038-6140 2020-09-14
1336753920 Henny P Brown Nurse Practitioner 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 2020-09-01
1487267415 Alethea Hope Tucker Nurse Practitioner 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 2020-08-28
1952913808 Carol Jo Wilbanks Nurse Practitioner 206 Crest Dr, Rock Spring, GA 30739-2041 2020-08-21
1164032017 Myiesha Sellers Mcfarlin Nurse Practitioner 55 Sellers Ln, Baxley, GA 31513-2208 2020-08-05
1124645395 Kisha Smalley Nurse Practitioner 117 Gambier Cv, Mcdonough, GA 30252-6273 2020-07-02
1346861127 Finan Tedla Nurse Practitioner 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 2020-05-03
1841819547 Millicent Charte Duncan Nurse Practitioner 138 Parkview Rd, Savannah, GA 31419-9672 2020-04-13
1891329660 Tracey Lynn Murray Nurse Practitioner 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 2020-03-02
1841820917 Vedic Family Practice and Wellness Nurse Practitioner 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 2020-01-17
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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