Deja Shari Koenig, NP - Medicare Nurse Practitioner in Powder Springs, GA

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Deja Shari Koenig, NP is a medicare enrolled "Nurse Practitioner" in Powder Springs, Georgia. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellstreet Of Georgia Pc and her current practice location is 4400 Brownsville Rd Ste 105, Powder Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at (516) 830-5338.

Deja Shari Koenig is licensed to practice in Georgia (license number APRN-NP282683) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184264525.

Contact Information

Deja Shari Koenig, NP
4400 Brownsville Rd Ste 105,
Powder Springs, GA 30127-8902
(516) 830-5338
(470) 523-2573

Map and Direction




Provider's Profile

Full NameDeja Shari Koenig
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location4400 Brownsville Rd Ste 105, Powder Springs, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Deja Shari Koenig graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1184264525
  • Provider Enumeration Date: 01/14/2020
  • Last Update Date: 10/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2769894682
  • Enrollment ID: I20201218000304

Medical Identifiers

Medical identifiers for Deja Shari Koenig such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184264525NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95013548 (California)Secondary
363L00000XNurse Practitioner APRN-NP282683 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstreet Of Georgia Pc7517126279440

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Deja Shari Koenig allows following entities to bill medicare on her behalf.
Entity NameWellstreet Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603
Entity NameTrue North Health Navigation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578047536
PECOS PAC ID: 5294960696
Enrollment ID: O20191011002051

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deja Shari Koenig is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deja Shari Koenig, NP
4034 Oak Hill Rd,
Douglasville, GA 30135-5026

Ph: (516) 830-5338		Deja Shari Koenig, NP
4400 Brownsville Rd Ste 105,
Powder Springs, GA 30127-8902

Ph: (516) 830-5338

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.