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EKA OMOWA APRN, PMHNP-BC
NPI 1417611898
Nurse Practitioner - Psychiatric/Mental Health in Conyers, GA

Active since October 22, 2021PECOS Enrolled
1397 MANCHESTER DR NE, CONYERS, GA 30012(770) 922-0255 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eka Omowa Aprn, Pmhnp-bc NPPES

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

EKA OMOWA APRN, PMHNP-BC (NPI 1417611898) is an individual psychiatric/mental health provider in Conyers, Georgia, licensed in Georgia (254559) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417611898
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEKA OMOWACredential: APRN, PMHNP-BC
Location Address1397 MANCHESTER DR NEConyers, GA 30012-3882
Mailing Address1397 Manchester Dr NeConyers, GA 30012-3882 · (770) 922-0255
Phone(770) 922-0255
Sole ProprietorNo
Enumeration DateOctober 22, 2021
NPPES CertifiedOctober 22, 2021
✔ NPI 1417611898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 254559
1397 MANCHESTER DR NE, Conyers, GA 30012
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eka Omowa Aprn, Pmhnp-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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eka Omowa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geode Health Of Georgia LLC
18 mi
Psychiatry
227 SCENIC HWY STE A
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1477265718 (630) 912-4241
Psychiatric Professionals Of Georgia, LLC
23 mi
Psychiatry
1325 SATELLITE BLVD NW BLDG 400
Suwanee, GA 30024
  • Reassigned Medicare billing, Georgia enrollment
  • 96 clinicians in this Medicare group
NPI 1396277968 (678) 263-3080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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.

Other Providers at the Same Location NPPES 8

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

JOLI A SMITH PA-C
Physician Assistant
1397 MANCHESTER DR NE
CONYERS, GA 30012
Rockdale County (770) 284-6161
DR. STEVEN H LITTRELL PH.D.
Counselor (Professional)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Rockdale County (770) 922-0255
ROCKDALE PSYCHIATRIC ASSOCIATES PC
Psychologist (Prescribing (Medical))
1397 MANCHESTER DR NE
CONYERS, GA 30012
Rockdale County (770) 922-0255
MONIQUE MCGEE LCSW
Social Worker (Clinical)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Rockdale County (770) 284-6161
DR. ROBERT TYRE JONES IV PSY.D.
Psychologist (Clinical)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Rockdale County (770) 483-6377
MRS. ANNAMARIE S PAULSEN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Rockdale County (770) 922-0255
DR. CHRISANNE MAYER PSY.D.
Psychologist (Clinical)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Rockdale County (404) 668-0183
OMOSEDE JEMIMAH NOSA-OVIASU RN
Nurse Practitioner (Psychiatric/Mental Health)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Rockdale County (339) 440-1595

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 Eka Omowa's NPI number?

The NPI number for Eka Omowa is 1417611898. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Eka Omowa located?

Eka Omowa practices at 1397 Manchester Dr NE, Conyers, GA 30012. The listed phone number is (770) 922-0255.

What is Eka Omowa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Eka Omowa enrolled in Medicare?

Yes. Eka Omowa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eka Omowa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eka Omowa reassigns Medicare benefits to 2 organizations: Geode Health Of Georgia LLC (Lawrenceville, GA) and Psychiatric Professionals Of Georgia, LLC (Suwanee, GA). 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 Eka Omowa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eka Omowa accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health and UnitedHealthcare list Eka Omowa 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 Eka Omowa was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.