MS. KELECHI EJIMOFOR FNP
NPI 1215484555
Nurse Practitioner - Family in Austell, GA
About Ms. Kelechi Ejimofor Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELECHI EJIMOFOR FNP (NPI 1215484555) is an individual family provider in Austell, Georgia, licensed in Georgia (RN174229) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Ms. Kelechi Ejimofor Fnp 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.
Medicare Billing Reassignments
9Medicare enrollment records show Kelechi Ejimofor reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Riverdale, GA 30274
- Reassigned Medicare billing, Georgia enrollment
- 160 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Columbus, GA 31909
- Reassigned Medicare billing, Georgia enrollment
- 165 clinicians in this Medicare group
Columbus, GA 31901
- Reassigned Medicare billing, Georgia enrollment
- 163 clinicians in this Medicare group
Warner Robins, GA 31093
- Reassigned Medicare billing, Georgia enrollment
- 150 clinicians in this Medicare group
Guyton, GA 31312
- Reassigned Medicare billing, Georgia enrollment
- 30 clinicians in this Medicare group
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 169 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial University Medical Center
Acute Care Hospitals · Savannah, GAWellstar Paulding Medical Center
Acute Care Hospitals · Hiram, GAPiedmont Columbus Regional Northside
Acute Care Hospitals · Columbus, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Kelechi Ejimofor's NPI number?
The NPI number for Kelechi Ejimofor is 1215484555. It was assigned to this individual provider in the NPPES registry on September 2, 2016.
Where is Kelechi Ejimofor located?
Kelechi Ejimofor practices at 1987 Oakbluff Dr, Austell, GA 30106. The listed phone number is (678) 687-1503.
What is Kelechi Ejimofor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelechi Ejimofor enrolled in Medicare?
Yes. Kelechi Ejimofor 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 Kelechi Ejimofor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelechi Ejimofor reassigns Medicare benefits to 9 organizations: Wellstar Medical Group, LLC (Austell, GA), Georgia Hospitalists Group, LLC (Riverdale, GA), 24 On Physicians, PC (Rome, GA), Cogent Healthcare Of Georgia PC (Macon, GA), Benning Hospitalist Services, LLC (Columbus, GA) and 4 more organizations, listed in the Medicare section above. 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 Kelechi Ejimofor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelechi Ejimofor accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Kelechi Ejimofor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kelechi Ejimofor affiliated with any hospitals?
According to CMS data, Kelechi Ejimofor is affiliated with Memorial University Medical Center, Wellstar Paulding Medical Center and Piedmont Columbus Regional Northside.
When was this NPI record last updated?
The NPPES record for Kelechi Ejimofor was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Kelechi Ejimofor, FNP · NPI 1215484555
Family physician in Austell, Georgia. Individual provider, active in the CMS NPPES registry since September 2, 2016.
## Identity
- **NPI:** 1215484555 (Entity type: Individual)
- **Enumerated:** September 2, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN174229 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1987 OAKBLUFF DR, Austell, GA 30106-2932
- **Phone:** (678) 687-1503
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1942593959, Austell, GA); Georgia Hospitalists Group, LLC (NPI 1033576376, Riverdale, GA); 24 On Physicians, PC (NPI 1912956251, Rome, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); Benning Hospitalist Services, LLC (NPI 1215442173, Columbus, GA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 2, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1215484555) · Data from the CMS NPPES public registry.