OMOYEME ALICESON EHIZUELEN APRN, PMHNP-BC
NPI 1033844998
Nurse Practitioner - Psychiatric/Mental Health in Lilburn, GA

Q: What is Omoyeme Ehizuelen's NPI number?

The NPI number for Omoyeme Ehizuelen is 1033844998. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Q: What is Omoyeme Ehizuelen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Omoyeme Ehizuelen enrolled in Medicare?

No. Omoyeme Ehizuelen has opted out of Medicare through December 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Omoyeme Ehizuelen was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2022Opted out of Medicare · through Dec 11, 2026

680 HILLCREST RD NW STE 400, LILBURN, GA 30047(404) 566-8045(404) 999-6787 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Feb 7, 2024, Nov 16, 2022 and 1 more (4 updates tracked since 2022).

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About Omoyeme Aliceson Ehizuelen Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMOYEME ALICESON EHIZUELEN APRN, PMHNP-BC (NPI 1033844998) is an individual psychiatric/mental health provider in Lilburn, Georgia, licensed in Georgia (313937) and active in the NPI registry since July 2022. She has opted out of Medicare through December 11, 2026 and remains eligible to order and refer and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1033844998

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOMOYEME ALICESON EHIZUELENCredential: APRN, PMHNP-BC

Location Address680 HILLCREST RD NW STE 400Lilburn, GA 30047-6898

Mailing Address1700 Northside Drive Nw, Suite A7 Pmb 2078Atlanta, GA 30318 · (404) 566-8045 · Fax (404) 999-6787

Phone(404) 566-8045

Fax(404) 999-6787

Sole ProprietorNo

Enumeration DateJuly 22, 2022

Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1033844998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in GA · 313937✔ Licensed in GA · RN313937

680 HILLCREST RD NW STE 400, Lilburn, GA 30047

Open in Google Maps ↗

Secondary Practice Location 1

Location 11640 Powers Ferry Road SE, Building 6 Suite 100Marietta, GA 30067 · Phone (000) 000-0000 · Fax (000) 000-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Omoyeme Aliceson Ehizuelen Aprn, Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2024 through December 11, 2026.

Opt-Out Effective DateDecember 11, 2024

Opt-Out In Effect ThroughDecember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MURPHY

Social Worker (Clinical)

680 HILLCREST RD NW STE 400
LILBURN, GA 30047

Gwinnett County (678) 773-3037

ALICE'S PSYCHIATRY & WELLNESS, LLC

Nurse Practitioner (Psychiatric/Mental Health)

680 HILLCREST RD NW STE 400
LILBURN, GA 30047

Gwinnett County (404) 566-8045

ERIN M. FLOYD, PH.D., LLC

Psychologist

680 HILLCREST RD NW STE 400
LILBURN, GA 30047

Gwinnett County (770) 785-2704

DR. ERIN M FLOYD PH.D.

Psychologist

680 HILLCREST RD NW STE 400
LILBURN, GA 30047

Gwinnett County (770) 785-2704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omoyeme Ehizuelen's NPI number?

The NPI number for Omoyeme Ehizuelen is 1033844998. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Where is Omoyeme Ehizuelen located?

Omoyeme Ehizuelen practices at 680 Hillcrest Rd NW Ste 400, Lilburn, GA 30047. The listed phone number is (404) 566-8045.

What is Omoyeme Ehizuelen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Omoyeme Ehizuelen enrolled in Medicare?

No. Omoyeme Ehizuelen has opted out of Medicare through December 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Omoyeme Ehizuelen accept?

Health plans from UnitedHealthcare list Omoyeme Ehizuelen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omoyeme Ehizuelen was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.