NNENNA BEATRICE OTALUKA NP
NPI 1730604620
Nurse Practitioner - Family in Stone Mountain, GA

Active since August 11, 2017PECOS EnrolledAccepts Medicare Assignment
5329 MEMORIAL DR STE A, STONE MOUNTAIN, GA 30083(404) 296-7695(404) 296-7695 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Aug 11, 2017 (2 updates tracked since 2017).

About Nnenna Beatrice Otaluka Np NPPES

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

NNENNA BEATRICE OTALUKA NP (NPI 1730604620) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN152070) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Piedmont Eastside Medical Center, and maintains a secondary practice location in Snellville.

NPPES Registry Identity

NPI1730604620
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNNENNA BEATRICE OTALUKACredential: NP
Location Address5329 MEMORIAL DR STE AStone Mountain, GA 30083-3212
Mailing Address5329 Memorial Dr Ste AStone Mountain, GA 30083-3212 · (404) 296-7695 · Fax (404) 296-7696
Fax(404) 296-7695
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 11, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1730604620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN152070
5329 MEMORIAL DR STE A, Stone Mountain, GA 30083

Secondary Practice Location 1

Location 11700 Medical WaySnellville, GA 30078-2195 · Phone (770) 979-0200

Accepted Insurance

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

Nnenna Beatrice Otaluka Np 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 ID3375889439
PECOS Enrollment IDI20190110000303
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
131 services129 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
68 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30083 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 2

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

Clinic/Center (Medical Specialty)
5329 MEMORIAL DR STE A
STONE MOUNTAIN, GEORGIA 30083
Respite Care
5329 MEMORIAL DR STE A
STONE MOUNTAIN, GA 30083

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 Nnenna Otaluka's NPI number?

The NPI number for Nnenna Otaluka is 1730604620. It was assigned to this individual provider in the NPPES registry on August 11, 2017.

Where is Nnenna Otaluka located?

Nnenna Otaluka practices at 5329 Memorial Dr Ste A, Stone Mountain, GA 30083. The listed phone number is (404) 296-7695.

What is Nnenna Otaluka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nnenna Otaluka enrolled in Medicare?

Yes. Nnenna Otaluka 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.

What insurance does Nnenna Otaluka accept?

Health plans from Oscar Insurance Company list Nnenna Otaluka 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 Nnenna Otaluka affiliated with any hospitals?

According to CMS data, Nnenna Otaluka is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Nnenna Otaluka was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.