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: July 19, 2026.

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

  • Organization
  • Family Medicine

About AMBROSIA FUNCTIONAL MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Ambrosia Functional Medicine Llc, a primary care provider established in Austell, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1073270997 assigned on November 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Chibuzor Steve Eke Fnp-c (Managing Partner)

NPI
1073270997 Verify this NPI
Provider Name
AMBROSIA FUNCTIONAL MEDICINE LLC
Entity Type
Organization
Location Address
1668 MULKEY RD STE G AUSTELL, GA 30106
Location Phone
(404) 585-4964
Location Fax
(404) 581-5838
Mailing Address
5878 GRAYWOOD CIR SE MABLETON, GA 30126
Mailing Phone
(404) 585-4964
Mailing Fax
(404) 581-5838
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2021
Last Update Date
03-17-2025
Code Navigator

A primary care provider (PCP) like Ambrosia Functional Medicine Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHIBUZOR STEVE EKE FNP-C

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(404) 585-4964

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1134670474MEDICAID (05)GA 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
1668 MULKEY RD STE G
AUSTELL, GA 30106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073270997, enumerated as an "organization" on November 27, 2021.

The provider is located at 1668 MULKEY RD STE G AUSTELL, GA 30106 and the phone number is (404) 585-4964.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.