UBI OKIM
NPI 1063233104
Nurse Practitioner - Psychiatric/Mental Health in Villa Rica, GA

Q: What is Ubi Okim's NPI number?

The NPI number for Ubi Okim is 1063233104. It was assigned to this individual provider in the NPPES registry on October 22, 2024.

Q: What is Ubi Okim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ubi Okim was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 October 22, 2024PECOS Enrolled

20 HERRELL RD, VILLA RICA, GA 30180(770) 812-3530(770) 812-3531 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Aug 13, 2025 (2 updates tracked since 2025).

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About Ubi Okim NPPES

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

UBI OKIM (NPI 1063233104) is an individual psychiatric/mental health provider in Villa Rica, Georgia, licensed in Georgia (APRN-NP152608) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063233104

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameUBI OKIM

Location Address20 HERRELL RDVilla Rica, GA 30180

Mailing Address20 Herrell RdVilla Rica, GA 30180-5527 · (770) 812-3530

Phone(770) 812-3530

Fax(770) 812-3531

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 22, 2024

Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1063233104 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

License✔ Licensed in GA · APRN-NP152608

20 HERRELL RD, Villa Rica, GA 30180

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ubi Okim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436653060

PECOS Enrollment IDI20250917003064

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 20

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

ALLYSON MOFFATT LPC

Counselor (Mental Health)