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DR. KENNETH OBIMPEH PA-C
NPI 1629472881
Physician Assistant - Medical in Snellville, GA

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
2675 MAIN ST W, SNELLVILLE, GA 30078(404) 659-5909(770) 399-9449 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 26, 2023, Aug 10, 2020 (2 updates tracked since 2020).

About Dr. Kenneth Obimpeh Pa-c NPPES

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

DR. KENNETH OBIMPEH PA-C (NPI 1629472881) is an individual medical provider in Snellville, Georgia, licensed in Georgia (7418) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629472881
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDR. KENNETH OBIMPEHCredential: PA-C
Location Address2675 MAIN ST WSnellville, GA 30078-3161
Mailing Address2675 Main St WSnellville, GA 30078-3161 · (404) 659-5909 · Fax (770) 399-9449
Phone(404) 659-5909
Fax(770) 399-9449
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 17, 2014
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1629472881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 7418
2675 MAIN ST W, Snellville, GA 30078
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Obimpeh Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810219573
PECOS Enrollment IDI20141208001219
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
358 services79 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
165 services68 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
164 services68 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
23 services23 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

ASHLEY LITTRELL GRIFFITTS
Physician Assistant
2675 MAIN ST W
SNELLVILLE, GA 30078
Gwinnett County (404) 659-5909
LUCY-BERTHA WALLANG PA-C
Physician Assistant
2675 MAIN ST W
SNELLVILLE, GA 30078
Gwinnett County (770) 866-5147
DR. CELINE MATHEW D.O.
Physical Medicine & Rehabilitation
2675 MAIN ST W
SNELLVILLE, GA 30078
Gwinnett County (404) 659-5909

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 Kenneth Obimpeh's NPI number?

The NPI number for Kenneth Obimpeh is 1629472881. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Kenneth Obimpeh located?

Kenneth Obimpeh practices at 2675 Main St W, Snellville, GA 30078. The listed phone number is (404) 659-5909.

What is Kenneth Obimpeh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Obimpeh enrolled in Medicare?

Yes. Kenneth Obimpeh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Obimpeh was last updated on October 26, 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.