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STEPHANIE OBIALO
NPI 1114777166
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since March 25, 2024PECOS Enrolled
665 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046(214) 497-5782 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Obialo NPPES

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

STEPHANIE OBIALO (NPI 1114777166) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114777166
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE OBIALO
Location Address665 DULUTH HWY STE 401Lawrenceville, GA 30046-4303
Mailing AddressPo Box 1190Lawrenceville, GA 30046-1190
Phone(214) 497-5782
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1114777166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
665 DULUTH HWY STE 401, Lawrenceville, GA 30046
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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)

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

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.

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.

MEDHA SUTHAR
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
DR. MICHAEL CURTIS CRANFORD DO
Family Medicine
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
TAL DVORA GREBER MD
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (470) 659-2527
ANJIYA ASWANI
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
DR. MADHURIMA ADULLA M.D
Internal Medicine (Nephrology)
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
DR. TARA LANE M.D.
Internal Medicine
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
DR. MARTIN EPHREM FELIX JR. MD
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4072
KUSH NIGAM PATHAK DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450

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 Stephanie Obialo's NPI number?

The NPI number for Stephanie Obialo is 1114777166. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Stephanie Obialo located?

Stephanie Obialo practices at 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046. The listed phone number is (214) 497-5782.

What is Stephanie Obialo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephanie Obialo enrolled in Medicare?

Yes. Stephanie Obialo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Obialo was last updated on March 25, 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.