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MS. KELECHI EJIMOFOR FNP
NPI 1215484555
Nurse Practitioner - Family in Austell, GA

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1987 OAKBLUFF DR, AUSTELL, GA 30106(678) 687-1503 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1215484555
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELECHI EJIMOFORCredential: FNP
Location Address1987 OAKBLUFF DRAustell, GA 30106-2932
Mailing Address1987 Oakbluff DrAustell, GA 30106-2932 · (678) 687-1503
Phone(678) 687-1503
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 2, 2016
✔ NPI 1215484555 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 · RN174229
1987 OAKBLUFF DR, Austell, GA 30106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama.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

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.

PECOS PAC ID8628346251
PECOS Enrollment IDI20170622001065
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.

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, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Physician 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.

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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%168 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

What insurance does Kelechi Ejimofor accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Alabama 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 9 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.