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KRISTEN EZEUDE MD
NPI 1548919194
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since March 21, 2022PECOS Enrolled
677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-5189 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Ezeude Md NPPES

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

KRISTEN EZEUDE MD (NPI 1548919194) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548919194
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTEN EZEUDECredential: MD
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address677 Church St NeMarietta, GA 30060-1101
Phone(770) 793-5189
Sole ProprietorNo
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1548919194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
677 CHURCH ST NE, Marietta, GA 30060
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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)

Kristen Ezeude Md 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.

Other Providers at the Same Location NPPES 20

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

JILLIAN MARIE BLALOCK DO
Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
JAMIN GRAHAM MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
SAUMYA GURBANI MD, PHD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7742
DR. HALEY PUCKETT LAWHORN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
DEVIN HORTON CRNA
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 794-0477
BRITNEY ELIZABETH BECKETT
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MS. EVELYN KAY HALE RN
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-9560

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 Kristen Ezeude's NPI number?

The NPI number for Kristen Ezeude is 1548919194. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Kristen Ezeude located?

Kristen Ezeude practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5189.

What is Kristen Ezeude's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristen Ezeude enrolled in Medicare?

Yes. Kristen Ezeude is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Ezeude was last updated on March 21, 2022. 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.