EZINNE MMERECHI KANU MD
NPI 1205452935
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Q: What is Ezinne Kanu's NPI number?

The NPI number for Ezinne Kanu is 1205452935. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Q: What is Ezinne Kanu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Ezinne Kanu was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment

1401 PEACHTREE ST NE STE 110, ATLANTA, GA 30309(470) 749-3520 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2023, Jun 18, 2020 (2 updates tracked since 2020).

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About Ezinne Mmerechi Kanu Md NPPES

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

EZINNE MMERECHI KANU MD (NPI 1205452935) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (96873) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Augusta, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205452935

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameEZINNE MMERECHI KANUCredential: MD

Location Address1401 PEACHTREE ST NE STE 110Atlanta, GA 30309-3005

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(470) 749-3520

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 18, 2020

Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1205452935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in GA · 96873✔ Licensed in MO · 2023044187

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1401 PEACHTREE ST NE STE 110, Atlanta, GA 30309

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Secondary Practice Location 1

Location 1997 Saint Sebastian WayAugusta, GA 30912-2613 · Phone (706) 721-6715

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ezinne Mmerechi Kanu Md 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 ID8820412737

PECOS Enrollment IDI20240729001968

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 30309 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 10

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

JAIME ALBERTO CASTILLO LPC

Counselor (Professional)