CHINWE IBIAM (NPI# 1598289860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598289860 |
| Entity Type | Individual |
| Full Name | CHINWE IBIAM |
| Credential | NP |
| Practice Address |
766 Walther Rd Ste 100 Lawrenceville GA 30046-8765 |
| Mailing Address |
1885 Silverstone Dr Lawrenceville GA 30045-7273 |
| Practice Telephone | 7707366300 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN217527 | GA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN217527 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5012244 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 Gwinnett Dr, Lawrenceville, GA 300465669 | 6154951771 | |
| 311 Judges Rd Ste 4e, Wilmington, NC 284053655 | 9106176495 |
| Street Address |
766 WALTHER RD STE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118383 | Janet Whaley | Nurse Practitioner | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2005-10-20 |
| 1992205454 | Michelle Robinson | Nurse Practitioner | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2018-02-20 |
| 1992204275 | Melody Nicole Resto-burton | Nurse Practitioner | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2018-02-01 |
| 1811402803 | Wongelawit Tesfaye Belayneh | Nurse Practitioner | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2017-12-12 |
| 1417460171 | Halima Mohamed | Nurse Practitioner | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2017-11-15 |
| 1386153914 | Eastside Heart and Vascular, LLC | Internal Medicine | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2017-09-27 |
| 1194182857 | Deepthy Varghese | Nurse Practitioner | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2016-01-25 |
| 1902298086 | Dora Jean-louis | Registered Nurse | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2015-02-25 |
| 1679988059 | Stacey Philip | Physician Assistant | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2014-06-24 |
| 1760749873 | Edward Claude Clermont | Internal Medicine | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2012-04-13 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233963 | Bernice Pinky Monger | Nurse Practitioner | 1460 Appian Way, Lawrenceville, GA 30046-7663 | 2020-01-06 |
| 1477116564 | Yelitza Mari Guzman | Nurse Practitioner | 631 Professional Dr, Lawrenceville, GA 30046-3367 | 2019-04-15 |
| 1275095341 | Laura Maria Gonzalez | Nurse Practitioner | 755 Walther Rd, Lawrenceville, GA 30046-8725 | 2019-04-05 |
| 1497229892 | Jannette Marva Lord | Nurse Practitioner | 631 Professional Dr Ste 120, Lawrenceville, GA 30046-3370 | 2019-01-18 |
| 1992204275 | Melody Nicole Resto-burton | Nurse Practitioner | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2018-02-01 |
| 1811402803 | Wongelawit Tesfaye Belayneh | Nurse Practitioner | 766 Walther Rd Ste 100, Lawrenceville, GA 30046-8765 | 2017-12-12 |
| 1669983169 | Mihaela Ionashku | Nurse Practitioner | 755 Walther Rd, Lawrenceville, GA 30046-8725 | 2017-10-24 |
| 1720446644 | Mijung Han | Nurse Practitioner | 755 Walther Rd, Lawrenceville, GA 30046-8725 | 2016-02-06 |
| 1821455254 | Julie Rhule | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2016-01-14 |
| 1487048591 | Paige Gantt | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2015-03-26 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on CHINWE IBIAM.
| 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.