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MR. EJOVWOKE UGHWANOGHO
NPI 1669321477
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA

Active since January 26, 2026PECOS Enrolled
680 OLD JOHNSON RD, LAWRENCEVILLE, GA 30045(470) 796-1471(470) 796-1471 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 21, 2026, Apr 29, 2026, Jan 26, 2026 (3 updates tracked since 2026).

About Mr. Ejovwoke Ughwanogho NPPES

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

MR. EJOVWOKE UGHWANOGHO (NPI 1669321477) is an individual psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (APRN164479) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Inverness, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669321477
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. EJOVWOKE UGHWANOGHO
Location Address680 OLD JOHNSON RDLawrenceville, GA 30045-6251
Mailing Address680 Old Johnson RdLawrenceville, GA 30045-6251 · (470) 796-1471 · Fax (470) 796-1471
Phone(470) 796-1471
Fax(470) 796-1471
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 26, 2026
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1669321477 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 · APRN164479
680 OLD JOHNSON RD, Lawrenceville, GA 30045
Open in Google Maps ↗

Secondary Practice Location 1

Location 1214 S Apopka AveInverness, FL 34452-4803 · Phone (470) 796-1471

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ejovwoke Ughwanogho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426533100
PECOS Enrollment IDI20260331001639
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 30045 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

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

MRS. VERONICA I OHWOWHIAGBESE APRN
Registered Nurse (General Practice)
680 OLD JOHNSON RD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 335-1202

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 Ejovwoke Ughwanogho's NPI number?

The NPI number for Ejovwoke Ughwanogho is 1669321477. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Ejovwoke Ughwanogho located?

Ejovwoke Ughwanogho practices at 680 Old Johnson Rd, Lawrenceville, GA 30045. The listed phone number is (470) 796-1471.

What is Ejovwoke Ughwanogho's specialty?

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

Is Ejovwoke Ughwanogho enrolled in Medicare?

Yes. Ejovwoke Ughwanogho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ejovwoke Ughwanogho was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.