ERNEST U AMUKAMARA (NPI# 1356529101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356529101 |
| Entity Type | Individual |
| Full Name | ERNEST U AMUKAMARA |
| Practice Address |
5615 Old National Hwy Ste D Atlanta GA 30349-3817 |
| Mailing Address |
5615 Old National Hwy. Suite D Atlanta GA 30349-3244 |
| Practice Telephone | 7709972900 |
| Practice Fax Number | 6789499310 |
| Mailing Telephone | 7709972900 |
| Mailing Fax Number | 6789499310 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN201832 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN201832NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00153300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 982 BROAD STREET | 1548431091 | 01 |
| NJ | 741 BROADWAY | 1740345693 | 01 |
| NJ | 1150 SPRINGFIELD AVENUE | 1972778413 | 01 |
| NJ | 101 LUDLOW STREET | 1932370483 | 01 |
| NJ | NCHC TAX ID | 222747589 | 01 |
| NJ | 37 N DAY | 1235300799 | 01 |
| NJ | 444 WILLIAM STREET | 1194996645 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7574 Ga 85, Riverdale, GA 302743447 | 0000000000 |
| Street Address |
5615 OLD NATIONAL HWY STE D |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| Find all providers in ATLANTA | ||||
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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.