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AMBROSIA FUNCTIONAL MEDICINE LLC
NPI 1073270997
Family Medicine in Austell, GA

Active since November 27, 2021
1668 MULKEY RD STE G, AUSTELL, GA 30106(404) 585-4964(404) 581-5838 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2025, Nov 27, 2021 (2 updates tracked since 2021).

About Ambrosia Functional Medicine Llc NPPES

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

AMBROSIA FUNCTIONAL MEDICINE LLC (NPI 1073270997) is a healthcare organization registered as a family medicine in Austell, Georgia and active in the NPI registry since November 2021. The organization lists Chibuzor Steve Eke, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1073270997
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMBROSIA FUNCTIONAL MEDICINE LLC
Location Address1668 MULKEY RD STE GAustell, GA 30106-1163
Mailing Address5878 Graywood Cir SeMableton, GA 30126-2894 · (404) 585-4964 · Fax (404) 581-5838
Phone(404) 585-4964
Fax(404) 581-5838
Organization SubpartNo
Authorized OfficialChibuzor Steve EkeManaging Partner · (404) 585-4964
Enumeration DateNovember 27, 2021
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1073270997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1668 MULKEY RD STE G, Austell, GA 30106
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Other Identifiers 1

Medicaid1134670474GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. CHIBUZOR STEVE EKE MBBCH, MPH, MSN, FNP
Nurse Practitioner (Family)
1668 MULKEY RD STE G
AUSTELL, GA 30106
Cobb County (404) 585-4964

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 Ambrosia Functional Medicine LLC's NPI number?

The NPI number for Ambrosia Functional Medicine LLC is 1073270997. It was assigned to this organization in the NPPES registry on November 27, 2021.

Where is Ambrosia Functional Medicine LLC located?

Ambrosia Functional Medicine LLC is located at 1668 Mulkey Rd Ste G, Austell, GA 30106. The listed phone number is (404) 585-4964.

What is Ambrosia Functional Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ambrosia Functional Medicine LLC was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.