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MARIAGORRATHY NKIRU EJIKE
NPI 1740845635
Nurse Practitioner - Family in Douglasville, GA

Active since May 06, 2019PECOS Enrolled
6224 HEAVENWOOD WAY, DOUGLASVILLE, GA 30135(404) 934-6981 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2023, Jul 1, 2019, May 6, 2019 (3 updates tracked since 2019).

About Mariagorrathy Nkiru Ejike NPPES

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

MARIAGORRATHY NKIRU EJIKE (NPI 1740845635) is an individual family provider in Douglasville, Georgia, licensed in Georgia (RN221552) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Austell.

NPPES Registry Identity

NPI1740845635
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIAGORRATHY NKIRU EJIKE
Location Address6224 HEAVENWOOD WAYDouglasville, GA 30135-5658
Mailing Address6224 Heavenwood WayDouglasville, GA 30135-5658 · (404) 934-6981
Phone(404) 934-6981
Sole ProprietorYes
Enumeration DateMay 6, 2019
Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1740845635 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 · RN221552
6224 HEAVENWOOD WAY, Douglasville, GA 30135
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Secondary Practice Location 1

Location 11842 S Carisbrook PlAustell, GA 30168-5139 · Phone (404) 934-6981

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Mariagorrathy Nkiru Ejike 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 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.

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 Mariagorrathy Ejike's NPI number?

The NPI number for Mariagorrathy Ejike is 1740845635. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Mariagorrathy Ejike located?

Mariagorrathy Ejike practices at 6224 Heavenwood Way, Douglasville, GA 30135. The listed phone number is (404) 934-6981.

What is Mariagorrathy Ejike's specialty?

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

Is Mariagorrathy Ejike enrolled in Medicare?

Yes. Mariagorrathy Ejike is registered in the Medicare PECOS enrollment system.

What insurance does Mariagorrathy Ejike accept?

Health plans from CareSource list Mariagorrathy Ejike 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.

When was this NPI record last updated?

The NPPES record for Mariagorrathy Ejike was last updated on December 11, 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.