| Nnenna Beatrice Otaluka, NP | |
|
5329 Memorial Dr Ste A, Stone Mountain, GA 30083-3212 | |
| (404) 296-7695 | |
| (404) 296-7695 |
| Full Name | Nnenna Beatrice Otaluka |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 5329 Memorial Dr Ste A, Stone Mountain, 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 |
|---|---|---|---|
| 1730604620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN152070 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Nnenna Beatrice Otaluka, NP 5329 Memorial Dr Ste A, Stone Mountain, GA 30083-3212 Ph: (404) 296-7695 | Nnenna Beatrice Otaluka, NP 5329 Memorial Dr Ste A, Stone Mountain, GA 30083-3212 Ph: (404) 296-7695 |
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499 | |
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 | |
Nikeisha Clevia Oliver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-1476 | |
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 | |
Mr. Justin Stewart Kitchens, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753 | |
Marc Elie Cayemitte, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5462 Memorial Dr Ste 101, Stone Mountain, GA 30083 Phone: 470-544-0854 | |
Sherrie Melton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088 Phone: 404-296-8858 |