MARY EZEH (FNP) – Family Nurse Practitioner, NPI 1245946268

MARY EZEH (FNP) is a healthcare provider. based in Savannah, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN278108 (GA). The NPI Number for MARY EZEH (FNP) is 1245946268

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MARY EZEH (FNP)
NPI
1245946268
Phone
(912) 527-1000
Address
106 E Broad St
Enumeration Date
24 January 2023
Last Update Date
14 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125271000
Graduation Year
2022 (4 years ago)
PAC ID
3173980109
Group Practice PAC ID
4789667015
Professional Enrollment ID
I20230607001933
Address ID
GA314012917SA106XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MARY EZEH (FNP)

  • 106 E Broad St

    Savannah, GA 314012917

    Phone: (912) 527-1000

    Type: Location

  • 106 E BROAD ST

    SAVANNAH, GA 314012917

    Phone: (912) 527-1000

    Fax: (912) 527-1155

    Type: Mailing

  • 2 ROBERTS ST

    SAVANNAH, GA 314083524

    Phone: (912) 527-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ViiV Healthcare Company ($71).

Total Amount

$135

General + Research + Ownership

Payments

7

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2023-06-07

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
I20230607001933INurse 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 31401)

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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: 4789667015View full group profile
NameSpecialtyState
Clinical Social WorkerGA
Mental Health CounselorGA
P O D I A T R YGA
Nurse PractitionerGA
Clinical Social WorkerGA
-GA
-GA
Family Practice, Geriatric MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YGA
Family PracticeOH

Reviews

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Frequently asked questions

What is the standard ID for MARY EZEH (FNP) in the U.S.?
In the U.S., MARY EZEH (FNP) is identified by NPI 1245946268.
Should I treat MARY EZEH (FNP) as an active provider?
Patients and plans typically see MARY EZEH (FNP) as active in the national extract.
What does the directory say MARY EZEH (FNP) does?
Insurance directories may phrase it differently, but here MARY EZEH (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARY EZEH (FNP) tied to Savannah, Georgia?
If you are local to Savannah, Georgia, MARY EZEH (FNP) may be relevant to your search.
Can I export MARY EZEH (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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