DR. ONYEBUCHI NWAOKOLO (DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639603707
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ONYEBUCHI NWAOKOLO (DNP)
1705 Williamson Rd Ste 101
Griffin, GA 302245471
Phone: (404) 706-6372
Type: Location
1705 WILLIAMSON RD SUITE 101
GRIFFIN, GA 30224
Phone:
Type: Location
1725 Pennsylvania Ave
McDonough, GA 302539118
Phone: (678) 472-6457
Fax: (678) 603-2086
Type: Location
1012 SPANIEL TER
HAMPTON, GA 302285951
Phone: (404) 218-8934
Type: Mailing
500 LANIER AVE W STE 103C
FAYETTEVILLE, GA 302147640
Phone: (404) 218-8934
Type: Location
1705 WILLIAMSON RD STE 101
GRIFFIN, GA 302245471
Phone: (678) 603-2898
Fax: (678) 603-2086
Type: Mailing
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 $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-08-01 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $125 |
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: 2018-08-01
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 |
|---|---|---|---|---|
| I20180801002047 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30224)
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