Enoma Evbuomwan, in Mableton, GA - Medicare Physician Assistant

Enoma Evbuomwan, is a medicare enrolled "Physician Assistant" in Mableton, Georgia. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Wellstreet Of Georgia Pc and her current practice location is 1400 Veterans Memorial Hwy Se # 563, Mableton, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 600-8494.

Enoma Evbuomwan is licensed to practice in Georgia (license number 007457) 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 1578954640.

Contact Information

	Enoma Evbuomwan,
	1400 Veterans Memorial Hwy Se # 563, Mableton, GA 30126-2945
	(470) 600-8494
	Not Available

Map and Direction

Provider's Profile

Full Name	Enoma Evbuomwan
Gender	Female
Speciality	Physician Assistant
Experience	12 Years
Location	1400 Veterans Memorial Hwy Se # 563, Mableton, 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.

Medical Education and Training:

Enoma Evbuomwan graduated from nursing school in 2014

NPI Data:

NPI Number: 1578954640
Provider Enumeration Date: 02/11/2015
Last Update Date: 03/17/2026

Medicare PECOS Information:

PECOS PAC ID: 5698093144
Enrollment ID: I20150413000875

Medical Identifiers

Medical identifiers for Enoma Evbuomwan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578954640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363A00000X	Physician Assistant	007457 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstreet Of Georgia Pc	7517126279	427

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. Enoma Evbuomwan 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 Address	Practice Location Address
Enoma Evbuomwan, 4519 Woodruff Rd Ste 4, Columbus, GA 31904-6096 Ph: (470) 600-8494	Enoma Evbuomwan, 1400 Veterans Memorial Hwy Se # 563, Mableton, GA 30126-2945 Ph: (470) 600-8494

Reviews and Comments

Physician Assistant Nurses in Mableton, GA

Cooper True Geralds, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5100 Vinings Estates Way Se, Mableton, GA 30126 Phone: 404-291-1481
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Anne-marie Spearman, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5971 Rosie Lane Se, Mableton, GA 30126 Phone: 678-520-6566

Enoma Evbuomwan, - Medicare Physician Assistant in Mableton, GA