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IJEOMA ZAMA FNP-BC
NPI 1164215604
Nurse Practitioner - Family in Loganville, GA

Active since May 27, 2025PECOS Enrolled
120 LOGAN PASS DR, LOGANVILLE, GA 30052(734) 623-3717 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ijeoma Zama Fnp-bc NPPES

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

IJEOMA ZAMA FNP-BC (NPI 1164215604) is an individual family provider in Loganville, Georgia, licensed in Georgia (RN315454) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164215604
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIJEOMA ZAMACredential: FNP-BC
Location Address120 LOGAN PASS DRLoganville, GA 30052-4847
Mailing Address120 Logan Pass DrLoganville, GA 30052-4847 · (734) 623-3717
Phone(734) 623-3717
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 27, 2025
Last NPPES UpdateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1164215604 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 · RN315454
120 LOGAN PASS DR, Loganville, GA 30052
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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)

Ijeoma Zama Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274029806
PECOS Enrollment IDI20260102000972
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 30052 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 Ijeoma Zama's NPI number?

The NPI number for Ijeoma Zama is 1164215604. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Ijeoma Zama located?

Ijeoma Zama practices at 120 Logan Pass Dr, Loganville, GA 30052. The listed phone number is (734) 623-3717.

What is Ijeoma Zama's specialty?

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

Is Ijeoma Zama enrolled in Medicare?

Yes. Ijeoma Zama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ijeoma Zama was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.