ENOMA EVBUOMWAN – Physician Assistant, NPI 1578954640
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for ENOMA EVBUOMWAN
1400 VETERANS MEMORIAL HWY SE # 563
MABLETON, GA 301262945
Phone: (470) 600-8494
Type: Location
4519 WOODRUFF ROAD SUITE 4 PMB 349
COLUMBUS, GA 31904
Phone: (706) 653-2255
Fax: (706) 653-2329
Type: Mailing
2737 WARM SPRINGS RD
COLUMBUS, GA 319046859
Phone: (706) 653-2255
Fax: (706) 653-2329
Type: Location
4519 WOODRUFF RD STE 4
COLUMBUS, GA 319046096
Phone: (470) 600-8494
Fax: (000) 000-0000
Type: Mailing
500 Nathan Dean Blvd Ste 105
Dallas, GA 301574911
Phone: (470) 624-6792
Fax: (470) 202-1026
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: 2015-04-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150413000875 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 64 | $0 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 42 | 42 | $0 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | 42 | 42 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 35 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 30126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine, Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | NJ | |
| - | GA | |
| Physician Assistant | GA |
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