FREDA CHINASA EZEOKONKWO NP
NPI 1821726910
Nurse Practitioner - Acute Care in Marietta, GA

Q: What is Freda Ezeokonkwo's NPI number?

The NPI number for Freda Ezeokonkwo is 1821726910. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Q: What is Freda Ezeokonkwo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Freda Ezeokonkwo was last updated on February 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 08, 2022PECOS Enrolled

55 WHITCHER ST NE STE 350, MARIETTA, GA 30060(770) 424-6893(770) 528-9938 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2026, Aug 8, 2022 (2 updates tracked since 2022).

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About Freda Chinasa Ezeokonkwo Np NPPES

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

FREDA CHINASA EZEOKONKWO NP (NPI 1821726910) is an individual acute care provider in Marietta, Georgia, licensed in Georgia (APRN-NP278885) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821726910

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameFREDA CHINASA EZEOKONKWOCredential: NP

Location Address55 WHITCHER ST NE STE 350Marietta, GA 30060-1129

Mailing Address55 Whitcher St Ne Ste 350Marietta, GA 30060-1129 · (770) 424-6893 · Fax (770) 528-9938

Phone(770) 424-6893

Fax(770) 528-9938

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 8, 2022

Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1821726910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · APRN-NP278885

55 WHITCHER ST NE STE 350, Marietta, GA 30060

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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 (PECOS)

Freda Chinasa Ezeokonkwo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193209385

PECOS Enrollment IDI20260325003115

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 30060 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.

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Other Providers at the Same Location NPPES 20

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

STACEY GLASS MALSTROM NP-C

Nurse Practitioner