TINA CHINWENWA EZEH
NPI 1740996222
Clinical Nurse Specialist - Psychiatric/Mental Health in Douglasville, GA

Active since January 27, 2023PECOS EnrolledAccepts Medicare Assignment
5945 AZALEA RIDGE DR, DOUGLASVILLE, GA 30135(770) 882-8673 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Chinwenwa Ezeh NPPES

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

TINA CHINWENWA EZEH (NPI 1740996222) is an individual psychiatric/mental health provider in Douglasville, Georgia, licensed in Georgia (RN259954) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740996222
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameTINA CHINWENWA EZEH
Location Address5945 AZALEA RIDGE DRDouglasville, GA 30135-5590
Mailing AddressPo Box 6296Douglasville, GA 30154-0022 · (770) 882-8673
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 27, 2023
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1740996222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License Licensed in GA · RN259954
5945 AZALEA RIDGE DR, Douglasville, GA 30135

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

Tina Chinwenwa Ezeh 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 ID1456711423
PECOS Enrollment IDI20250610004245
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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services14 patients

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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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 Tina Ezeh's NPI number?

The NPI number for Tina Ezeh is 1740996222. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Tina Ezeh located?

Tina Ezeh practices at 5945 Azalea Ridge Dr, Douglasville, GA 30135. The listed phone number is (770) 882-8673.

What is Tina Ezeh's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Tina Ezeh enrolled in Medicare?

Yes. Tina Ezeh 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 Tina Ezeh accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Tina Ezeh 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 Tina Ezeh was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.