TINA CHINWENWA EZEH
NPI 1740996222
Clinical Nurse Specialist - Psychiatric/Mental Health in Douglasville, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Tina Ezeh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Douglasville, GA 30135
- Reassigned Medicare billing, Georgia enrollment
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 592 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Georgia enrollment
- 232 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Tina Ezeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Ezeh reassigns Medicare benefits to 3 organizations: Diverse Dreams LLC (Douglasville, GA), Personal Recovery Network LLC (Stockbridge, GA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Ezeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Ezeh accept?
Health plans from UnitedHealthcare 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 13 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.
# Tina Chinwenwa Ezeh · NPI 1740996222
Psychiatric/Mental Health physician in Douglasville, Georgia. Individual provider, active in the CMS NPPES registry since January 27, 2023.
## Identity
- **NPI:** 1740996222 (Entity type: Individual)
- **Enumerated:** January 27, 2023
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health · taxonomy 364SP0808X
- **State license:** RN259954 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5945 AZALEA RIDGE DR, Douglasville, GA 30135-5590
- **Phone:** (770) 882-8673
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Diverse Dreams LLC (NPI 1801788096, Douglasville, GA); Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740996222) · Data from the CMS NPPES public registry.