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MARY O EJIFOMA N.P.
NPI 1356329411
Nurse Practitioner - Family in Kennesaw, GA

Active since January 08, 2006
3070 N MAIN ST NW, KENNESAW, GA 30144(770) 420-1092 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary O Ejifoma N.p. NPPES

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

MARY O EJIFOMA N.P. (NPI 1356329411) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (RN120872) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1356329411
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY O EJIFOMACredential: N.P.
Location Address3070 N MAIN ST NWKennesaw, GA 30144-2756
Mailing Address3369 Buford Highway, Suite 810Atlanta, GA 30329-3722 · (404) 321-4692 · Fax (404) 321-4366
Phone(770) 420-1092
Sole ProprietorNo
Enumeration DateJanuary 8, 2006
Last NPPES UpdateJuly 7, 2015
✔ NPI 1356329411 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 · RN120872
3070 N MAIN ST NW, Kennesaw, GA 30144
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Other Identifiers 1

Medicare UPIN50BBJZTGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

URBAN WELLNESS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3070 N MAIN ST NW
KENNESAW, GA 30144
Cobb County (770) 285-7321
MAIN STREET PHARMACY
Pharmacist
3070 N MAIN ST NW
KENNESAW, GA 30144
Cobb County (678) 269-6476
BRAND NEW DAY LIFE COACHING LLC
Social Worker (Clinical)
3070 N MAIN ST NW
KENNESAW, GA 30144
Cobb County (470) 561-5879
NEW VISION OUTREACH CENTER INC
Voluntary or Charitable
3070 N MAIN ST NW
KENNESAW, GA 30144
Cobb County (770) 317-2421
TAMI C OLIVER RPH
Pharmacist
3070 N MAIN ST NW
KENNESAW, GA 30144
Cobb County (678) 269-6476

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 Mary Ejifoma's NPI number?

The NPI number for Mary Ejifoma is 1356329411. It was assigned to this individual provider in the NPPES registry on January 8, 2006.

Where is Mary Ejifoma located?

Mary Ejifoma practices at 3070 N Main St NW, Kennesaw, GA 30144. The listed phone number is (770) 420-1092.

What is Mary Ejifoma's specialty?

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

What insurance does Mary Ejifoma accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mary Ejifoma 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.

When was this NPI record last updated?

The NPPES record for Mary Ejifoma was last updated on July 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.