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KWASI K. AMPOMAH
NPI 1629632211
Physical Medicine & Rehabilitation - Pain Medicine in Lawrenceville, GA

Active since April 29, 2019PECOS Enrolled
62.13/100
CMS Quality Rating
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046(770) 962-3642(770) 962-3643 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2021, Apr 29, 2019 (2 updates tracked since 2019).

About Kwasi K. Ampomah NPPES

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

KWASI K. AMPOMAH (NPI 1629632211) is an individual pain medicine provider in Lawrenceville, Georgia, licensed in Georgia (102584) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Ohio University, College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1629632211
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameKWASI K. AMPOMAH
Location Address455 PHILIP BLVD STE 140Lawrenceville, GA 30046-8768
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643
Phone(770) 962-3642
Fax(770) 962-3643
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2019
Enumeration DateApril 29, 2019
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1629632211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in GA · 102584
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0102206854 (VA)
455 PHILIP BLVD STE 140, Lawrenceville, GA 30046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kwasi K. Ampomah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618393562
PECOS Enrollment IDI20250205000331
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

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.

DEBORAH WILKENS FNP-C
Nurse Practitioner (Family)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-3642
DR. OLUWASEGUN OMOYEMI LIJOFI MD
Pain Medicine (Interventional Pain Medicine)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-3642
MANUEL ANGEL COLON-DEJESUS M.D.
Anesthesiology (Pain Medicine)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-3642
HUBERT PARE MD
Family Medicine
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-3642
DALANDRA BELCHER NP
Nurse Practitioner (Family)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-3642
ADAM GOVER MD
Pain Medicine (Pain Medicine)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-3642
SRINAND MANDYAM MD
Anesthesiology
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-3642
DR. AN DUY DO M.D.
Physical Medicine & Rehabilitation
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-3642

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 Kwasi Ampomah's NPI number?

The NPI number for Kwasi Ampomah is 1629632211. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Kwasi Ampomah located?

Kwasi Ampomah practices at 455 Philip Blvd Ste 140, Lawrenceville, GA 30046. The listed phone number is (770) 962-3642.

What is Kwasi Ampomah's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Kwasi Ampomah enrolled in Medicare?

Yes. Kwasi Ampomah is registered in the Medicare PECOS enrollment system.

What insurance does Kwasi Ampomah accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kwasi Ampomah 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.

Is Kwasi Ampomah affiliated with any hospitals?

According to CMS data, Kwasi Ampomah is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northeast Georgia Medical Center, Inc, Piedmont Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Kwasi Ampomah was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.