UZOAMAKA P OKONKWO – Family Nurse Practitioner, NPI 1003790551

UZOAMAKA P OKONKWO is a healthcare provider. based in Dallas, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN310199 (GA). The NPI Number for UZOAMAKA P OKONKWO is 1003790551

Main info

Female
1 Year Of Experience
Name
UZOAMAKA P OKONKWO
NPI
1003790551
Phone
(404) 707-0304
Address
PO BOX 56
Enumeration Date
5 August 2025
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
0244736635
Professional Enrollment ID
I20251003002573
Address ID
GA301575711Da114XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for UZOAMAKA P OKONKWO

  • PO BOX 56

    DALLAS, GA 301320001

    Phone: (404) 707-0304

    Type: Mailing

  • 1400 HOGANSVILLE RD

    LAGRANGE, GA 302411422

    Phone: (706) 803-7390

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251003002573INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30132)

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Reviews

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Frequently asked questions

Can I cross-check UZOAMAKA P OKONKWO using NPI 1003790551?
NPI 1003790551 belongs to UZOAMAKA P OKONKWO; compare other details if you need extra assurance.
Is UZOAMAKA P OKONKWO still an active registrant?
UZOAMAKA P OKONKWO carries an active NPI according to the public dataset.
What expertise is attributed to UZOAMAKA P OKONKWO?
UZOAMAKA P OKONKWO's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for UZOAMAKA P OKONKWO?
Travel planning: use Dallas, Georgia as the reference point for UZOAMAKA P OKONKWO, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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