AMAKA EZIGBO NP
NPI 1083589048
Nurse Practitioner - Family in Lawrenceville, GA

Active since October 09, 2025PECOS EnrolledAccepts Medicare Assignment
1438 DUNHILL DR, LAWRENCEVILLE, GA 30044(404) 729-1800 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amaka Ezigbo Np NPPES

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

AMAKA EZIGBO NP (NPI 1083589048) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (2025025467) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083589048
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMAKA EZIGBOCredential: NP
Location Address1438 DUNHILL DRLawrenceville, GA 30044-2009
Mailing Address1438 Dunhill DrLawrenceville, GA 30044-2009
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1083589048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 2025025467
1438 DUNHILL DR, Lawrenceville, GA 30044

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amaka Ezigbo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466930813
PECOS Enrollment IDI20260128002134
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amaka Ezigbo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1990 LAKESIDE PKWY, SUITE 170
Tucker, GA 30084
  • Reassigned Medicare billing, Georgia enrollment
  • 60 clinicians in this Medicare group
Nurse Practitioner
6700 ALEXANDER BELL DR STE 200
Columbia, MD 21046
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30044 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.

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 Amaka Ezigbo's NPI number?

The NPI number for Amaka Ezigbo is 1083589048. It was assigned to this individual provider in the NPPES registry on October 9, 2025.

Where is Amaka Ezigbo located?

Amaka Ezigbo practices at 1438 Dunhill Dr, Lawrenceville, GA 30044. The listed phone number is (404) 729-1800.

What is Amaka Ezigbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amaka Ezigbo enrolled in Medicare?

Yes. Amaka Ezigbo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amaka Ezigbo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amaka Ezigbo reassigns Medicare benefits to 2 organizations: Vision Medical Consulting, P.C. (Tucker, GA) and Healthdrive Medical Services, PC (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amaka Ezigbo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amaka Ezigbo was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.