Inimfon E Ubom, - Medicare Certified Registered Nurse Anesthetist (crna) in Roswell, GA

  1. Home
  2. Nurse Anesthetist - CR
  3. GA
  4. Roswell
Inimfon E Ubom, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roswell, Georgia. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Emory Specialty Associates, Llc, Piedmont Anesthesia Associates Llc and her current practice location is 535 Grove Park Pl, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 383-9999.

Inimfon E Ubom is licensed to practice in Georgia (license number RN202032) 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 1811455488.

Contact Information

Inimfon E Ubom,
535 Grove Park Pl,
Roswell, GA 30075-6873
(470) 383-9999
Not Available

Map and Direction




Provider's Profile

Full NameInimfon E Ubom
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location535 Grove Park Pl, Roswell, 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:
  • Inimfon E Ubom graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1811455488
  • Provider Enumeration Date: 03/03/2019
  • Last Update Date: 10/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032440227
  • Enrollment ID: I20211115001381

Medical Identifiers

Medical identifiers for Inimfon E Ubom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811455488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 006204 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 29624 (Tennessee)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered RN202032 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory Johns Creek HospitalJohns creek, GAHospital
Piedmont HospitalAtlanta, GAHospital
Emory University HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emory Specialty Associates, Llc3476559782515
Piedmont Anesthesia Associates Llc3577457183248

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. Inimfon E Ubom allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NamePiedmont Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407856594
PECOS PAC ID: 3577457183
Enrollment ID: O20040212000604
Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameWellstar Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283

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. Inimfon E Ubom 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
Inimfon E Ubom,
535 Grove Park Pl,
Roswell, GA 30075-6873

Ph: (470) 383-9999		Inimfon E Ubom,
535 Grove Park Pl,
Roswell, GA 30075-6873

Ph: (470) 383-9999

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Roswell, GA

Madge Evans Moon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2623    Fax: 770-751-2627
Lina Nmn Cline, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 120 Park East Dr, Roswell, GA 30075
Phone: 678-523-4000    
Dr. Sydney Mara Suss, DNP CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2500    
Shannon Woodall Betsill, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076
Phone: 678-762-0676    Fax: 678-762-7980
Roger Lee Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Hospital Blvd, Anesthesia Dept., Roswell, GA 30076
Phone: 770-751-2623    Fax: 770-751-2627
Mitchael Lee Vickers, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076
Phone: 678-762-0676    
Patricia Amirault Crowder, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2500    Fax: 770-751-2609

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.