EDITH EZEIGBO (NPI# 1972743946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972743946 |
| Entity Type | Individual |
| Full Name | EDITH EZEIGBO |
| Practice Address |
500 W Lanier Ave Building 200, Suite 202 Fayetteville GA 30214-7636 |
| Mailing Address |
1908 River Way Jonesboro GA 30236-7436 |
| Practice Telephone | 7704713487 |
| Mailing Telephone | 7704713487 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
500 W LANIER AVE BUILDING 200, SUITE 202 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737680 | Torey B Clark | Specialist | 500 W Lanier Ave, Suite 406, Fayetteville, GA 30214-7636 | 2005-08-22 |
| 1306168190 | Human Services Management Group, Inc. | Community/Behavioral Health | 500 W Lanier Ave, Suite 408, Fayetteville, GA 30214-7636 | 2010-02-19 |
| 1376878223 | Ems | Nursing Care | 500 W Lanier Ave, Ste 410, Fayetteville, GA 30214-7636 | 2009-10-10 |
| 1689810475 | Atlanta South Gynecology and Obstetrics P.C. | Clinic/Center | 500 W Lanier Ave, Ste.405, Fayetteville, GA 30214-7636 | 2008-12-29 |
| 1104062355 | Elite Staffing Group for Surgical Nurses, LLC. | Nursing Care | 500 W Lanier Ave, Suite 606a, Fayetteville, GA 30214-7636 | 2008-12-17 |
| 1922288224 | Torey B. Clark, Md PC | Specialist | 500 W Lanier Ave, Suite 406, Fayetteville, GA 30214-7636 | 2007-11-05 |
| 1356533079 | Sedona Counseling, Inc | Counselor | 500 W Lanier Ave, Suite 508, Fayetteville, GA 30214-7636 | 2007-08-16 |
| 1851510051 | Deborah Brehm | Counselor | 500 W Lanier Ave, Suite 913, Fayetteville, GA 30214-7636 | 2007-04-25 |
| 1962629360 | Sutton Orthopaedics & Sports Medicine, P.C. | Durable Medical Equipment & Medical Supplies | 500 W Lanier Ave, Suite 506, Fayetteville, GA 30214-7636 | 2007-04-19 |
| 1205960473 | Harbor Grace Hospice, Inc. | Hospice Care, Community Based | 500 W Lanier Ave, Suite 401, Fayetteville, GA 30214-7636 | 2007-03-16 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
| 1548886450 | Care Medical Atlanta LLC | Durable Medical Equipment & Medical Supplies | 122 Robinson Ct, Fayetteville, GA 30214-6935 | 2020-06-17 |
| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1154961472 | Zion Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 315, Fayetteville, GA 30214-7727 | 2020-01-14 |
| 1497314249 | Dme By Preventive Health Care Usa LLC | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 211, Fayetteville, GA 30214-7726 | 2019-06-06 |
| 1235696543 | Medic Rental Inc | Durable Medical Equipment & Medical Supplies | 3533 N Shiloh Dr Ste 4, Fayetteville, AR 72703-5317 | 2019-02-22 |
| 1720558893 | Broadband Innovation Group | Durable Medical Equipment & Medical Supplies | 2915 Raeford Rd Ste 203, Fayetteville, NC 28303-5491 | 2018-11-30 |
| 1508340464 | American Access and Management Services, LLC | Durable Medical Equipment & Medical Supplies | 1107 Four Wood Dr, Fayetteville, NC 28312-7227 | 2018-09-17 |
| 1629568506 | Kimberly Mcgaughey | Durable Medical Equipment & Medical Supplies | 1430 N Bernice Dr, Fayetteville, AR 72703-6084 | 2018-05-16 |
| 1033614771 | Mercy Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3801 Sycamore Dairy Rd Ste E, Fayetteville, NC 28303-3420 | 2018-03-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on EDITH EZEIGBO.
| 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.