| Chiazom C Omeruah, DO | |
|
1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 | |
| (770) 389-3855 | |
| (770) 474-8078 |
| Full Name | Chiazom C Omeruah |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 1240 Eagles Landing Pkwy Ste 110, Stockbridge, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265698922 | NPI | - | NPPES |
| 2984309 | Other | AL | CIGNA |
| 511-18690 | Other | AL | BCBS |
| 133889 | Medicaid | AL | |
| Z40098 | Other | AL | VIVA HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS015547 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | DO.1225 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 75091 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Hillandale Hospital | Lithonia, GA | Hospital |
| Emory University Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 515 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | Afc Physicians Of Georgia Primary Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780062380 PECOS PAC ID: 3072818095 Enrollment ID: O20160229001243 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiazom C Omeruah, DO 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 Ph: (770) 389-3855 | Chiazom C Omeruah, DO 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 Ph: (770) 389-3855 |
Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 | |
Edwina Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 | |
Loni Elise Jenkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281 Phone: 770-507-0029 Fax: 770-507-9990 | |
Dr. Clifford Lee Kauffman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Eva Ln, Stockbridge, GA 30281 Phone: 770-957-6702 | |
Vera Lafosse, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Southcrest Dr Ste 200, Stockbridge, GA 30281 Phone: 770-474-5302 Fax: 770-474-1275 | |
Dr. Jeffrey A Lamp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 | |
Peter Chinedu Nwaizuzu, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3750 N Henry Blvd, Stockbridge, GA 30281 Phone: 678-379-7190 Fax: 202-207-3732 |