VICTORIA I NWADIOGBU (PA-C) – Physician Assistant, NPI 1184241879

VICTORIA I NWADIOGBU (PA-C) is a healthcare provider. based in Lawrenceville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for VICTORIA I NWADIOGBU (PA-C) is 1184241879

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA I NWADIOGBU (PA-C)
NPI
1184241879
Phone
(770) 841-9940
Address
1664 HAMPTON HOLLOW TRL
Enumeration Date
29 June 2020
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4045046554
Graduation Year
2020 (6 years ago)
PAC ID
8325466816
Group Practice PAC ID
6709294804
Professional Enrollment ID
I20200915003266
Address ID
GA303094688AT22XXXNWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for VICTORIA I NWADIOGBU (PA-C)

  • 1664 HAMPTON HOLLOW TRL

    LAWRENCEVILLE, GA 300435176

    Phone: (770) 841-9940

    Type: Mailing

  • 950 BATTERY AVE SE STE 1216

    ATLANTA, GA 303393094

    Phone: (888) 663-6331

    Type: Mailing

  • 590 Forest Ave

    Palo Alto, CA 943012611

    Phone: (650) 288-4080

    Type: Location

  • 1664 Hampton Hollow Trl

    Lawrenceville, GA 300435176

    Phone: (770) 841-9940

    Type: Location

  • 1 EMBARCADERO CTR STE 1900

    SAN FRANCISCO, CA 941113723

    Phone:

    Type: Mailing

  • 746 THE ALAMEDA STE 10

    SAN JOSE, CA 951263178

    Phone: (415) 291-0480

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-01-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200915003266IPhysician AssistantGATBD
I20201208001706IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 30043)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709294804View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerMS
Family PracticeGA
Family PracticeGA
Physician AssistantCA
Physician AssistantGA
Physician AssistantMA
Physician AssistantNY
Physician AssistantGA
Family PracticeSC

Reviews

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Frequently asked questions

Can I verify VICTORIA I NWADIOGBU (PA-C) with an NPI only?
You can start verification with NPI 1184241879 for VICTORIA I NWADIOGBU (PA-C), then check state licensing separately.
Is VICTORIA I NWADIOGBU (PA-C) still practicing?
VICTORIA I NWADIOGBU (PA-C) is currently listed as active in the public NPI registry.
What is VICTORIA I NWADIOGBU (PA-C)'s specialty?
The listing groups VICTORIA I NWADIOGBU (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does VICTORIA I NWADIOGBU (PA-C) serve?
VICTORIA I NWADIOGBU (PA-C)'s listing highlights Lawrenceville, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
8 practice locations appear in the available data.

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