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

Q: 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.

Q: 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.

Q: 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 4 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.

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: August 02, 2026.

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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

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Medicare Participation & PECOS CMS

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

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.

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.

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Other Providers at the Same Location NPPES 7

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

DR. STEVEN H LITTRELL PH.D.

Counselor (Professional)