1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Anesthesiology
  6. NPI Profile

LIBERTY ODINAMADU UBANI AGANCP-BC
NPI 1386226173
Anesthesiology - Critical Care Medicine in Lawrenceville, GA

Active since April 22, 2021PECOS Enrolled
1272 MARLTON CHASE DR, LAWRENCEVILLE, GA 30044(404) 966-9572 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2023, Dec 10, 2023, Apr 22, 2021 (3 updates tracked since 2021).

About Liberty Odinamadu Ubani Agancp-bc NPPES

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

LIBERTY ODINAMADU UBANI AGANCP-BC (NPI 1386226173) is an individual critical care medicine provider in Lawrenceville, Georgia, licensed in Georgia (RN221108) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386226173
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameLIBERTY ODINAMADU UBANICredential: AGANCP-BC
Location Address1272 MARLTON CHASE DRLawrenceville, GA 30044-2011
Mailing Address1272 Marlton Chase DrLawrenceville, GA 30044-2011 · (404) 966-9572
Phone(404) 966-9572
Sole ProprietorYes
Enumeration DateApril 22, 2021
Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1386226173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in GA · RN221108
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN221108 (GA)
1272 MARLTON CHASE DR, Lawrenceville, GA 30044
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Odinamadu Ubani Agancp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Liberty Ubani's NPI number?

The NPI number for Liberty Ubani is 1386226173. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Liberty Ubani located?

Liberty Ubani practices at 1272 Marlton Chase Dr, Lawrenceville, GA 30044. The listed phone number is (404) 966-9572.

What is Liberty Ubani's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Liberty Ubani enrolled in Medicare?

Yes. Liberty Ubani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Liberty Ubani was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.