RALPH OGWOTU (NPI# 1144674581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144674581 |
| Entity Type | Individual |
| Full Name | RALPH OGWOTU |
| Practice Address |
3200 Highlands Pkwy Se Smyrna GA 30082-5166 |
| Mailing Address |
455 Winn Way Decatur GA 30030-1707 |
| Practice Telephone | 6783880946 |
| Mailing Telephone | 4042943745 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN233148 | GA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
233148 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1144674581 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 455 Winn Way, Decatur, GA 300301707 | 4042943745 |
| Street Address |
3200 HIGHLANDS PKWY SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-5166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144330937 | Faith N Bates | Dentist | 3200 Highlands Pkwy Se, Suite 110, Smyrna, GA 30082-5166 | 2006-08-30 |
| 1114437654 | Erin Casey Millinoff | Occupational Therapist | 3200 Highlands Pkwy Se, #150, Smyrna, GA 30082 | 2017-10-11 |
| 1437502143 | Whole and Healthy Youth, LLC | Internal Medicine | 3200 Highlands Pkwy Se, Suite 400, Smyrna, GA 30082-5166 | 2016-07-18 |
| 1598116295 | Lauren Marie Wellons | Occupational Therapist | 3200 Highlands Pkwy Se, Suite 150, Smyrna, GA 30082-5166 | 2016-06-24 |
| 1255786315 | Samantha Lupu | Speech-Language Pathologist | 3200 Highlands Pkwy Se, Suite 150, Smyrna, GA 30082-5166 | 2016-04-26 |
| 1851766323 | Lauren Cole | Occupational Therapy Assistant | 3200 Highlands Pkwy Se, Suite 150, Smyrna, GA 30082-5166 | 2015-12-09 |
| 1891169983 | Christina Selton | Occupational Therapist | 3200 Highlands Pkwy Se, Suite 150, Smyrna, GA 30082-5166 | 2015-11-30 |
| 1386041457 | Premier Pediatrics Associates | Pediatrics | 3200 Highlands Pkwy Se, Smyrna, GA 30082-5166 | 2014-12-04 |
| 1659791150 | Highlands Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 3200 Highlands Pkwy Se, Suite 420, Smyrna, GA 30082-5166 | 2014-04-23 |
| 1508286154 | Erica Buckner | Speech-Language Pathologist | 3200 Highlands Pkwy Se, Suite 150, Smyrna, GA 30082-5166 | 2014-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| 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 |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1669021036 | Blessing Anyaiwe Onyekachi | Nurse Practitioner | 3188 Atlanta Rd Se, Smyrna, GA 30080-8256 | 2019-09-09 |
| 1295382125 | Matthew Dustin Dowdy | Nurse Practitioner | 1314 Concord Rd Se, Smyrna, GA 30080-4361 | 2019-08-26 |
| 1194289165 | Robin Adam | Nurse Practitioner | 131 Mayfield Dr, Smyrna, TN 37167-3018 | 2019-01-24 |
| 1619442761 | John Bremner | Nurse Practitioner | 1314 Concord Rd Se, Smyrna, GA 30080-4361 | 2018-10-04 |
| 1942793773 | Olufunke Adewunmi | Nurse Practitioner | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2018-06-06 |
| 1376053736 | Karen Tonner | Nurse Practitioner | 3200 Highlands Pkwy Se Ste 400, Smyrna, GA 30082-5192 | 2017-10-11 |
| Find all providers in SMYRNA | ||||
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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.