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MR. FORTUNATE AMARACHUKWU EJIMONE M.B.B.S.
NPI 1780242420
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment
720 WESTVIEW DR. SW MOREHOUSE SCHOOL OF MEDICINE/GME,, ATLANTA, GA 30310(404) 752-1500(404) 756-1313 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, May 12, 2020, May 29, 2019 (3 updates tracked since 2019).

About Mr. Fortunate Amarachukwu Ejimone M.b.b.s. NPPES

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

MR. FORTUNATE AMARACHUKWU EJIMONE M.B.B.S. (NPI 1780242420) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Health Meadows Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780242420
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. FORTUNATE AMARACHUKWU EJIMONECredential: M.B.B.S.
Location Address720 WESTVIEW DR. SW MOREHOUSE SCHOOL OF MEDICINE/GME,Atlanta, GA 30310
Mailing Address720 Westview Dr. Sw Morehouse School Of Medicine/gme,Atlanta, GA 30310 · (404) 695-4873 · Fax (404) 756-1313
Phone(404) 752-1500
Fax(404) 756-1313
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 29, 2019
Last NPPES UpdateMay 12, 20203 updates tracked since enumeration
NPPES CertifiedMay 12, 2020
✔ NPI 1780242420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
720 WESTVIEW DR. SW MOREHOUSE SCHOOL OF MEDICINE/GME,, Atlanta, GA 30310
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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

Mr. Fortunate Amarachukwu Ejimone M.b.b.s. 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 ID9133501232
PECOS Enrollment IDI20220805002682
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 2

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.
167 services157 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.
24 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Jeff Davis Hospital

Critical Access Hospitals · Hazlehurst, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111333
Location163 South Tallahassee StreetHazlehurst, GA 31539 · Jeff Davis County
Emergency services

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 Fortunate Ejimone's NPI number?

The NPI number for Fortunate Ejimone is 1780242420. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Fortunate Ejimone located?

Fortunate Ejimone practices at 720 Westview Dr. SW Morehouse School Of Medicine/Gme,, Atlanta, GA 30310. The listed phone number is (404) 752-1500.

What is Fortunate Ejimone's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fortunate Ejimone enrolled in Medicare?

Yes. Fortunate Ejimone 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.

Is Fortunate Ejimone affiliated with any hospitals?

According to CMS data, Fortunate Ejimone is affiliated with Memorial Health Meadows Hospital and Jeff Davis Hospital.

When was this NPI record last updated?

The NPPES record for Fortunate Ejimone was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.