1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Freda Ezeokonkwo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
Same address
Surgery
55 WHITCHER ST NE, SUITE 130
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1235438367 (770) 428-0462

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
TANISHA LEONARD AGACNP-BC
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
RACHEL HATHY PHAN
Physician Assistant
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Cobb County (470) 956-9639
DR. MICHAEL BRUNT M.D.
Internal Medicine (Cardiovascular Disease)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
DR. EDDIE HACKLER III M.D.
Internal Medicine (Cardiovascular Disease)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
TREVOR DAVIS
Physician Assistant
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
HALA JOE ABISAMRA MD
Internal Medicine (Cardiovascular Disease)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
DR. LEVI MAY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893

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 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.

Where is Freda Ezeokonkwo located?

Freda Ezeokonkwo practices at 55 Whitcher St NE Ste 350, Marietta, GA 30060. The listed phone number is (770) 424-6893.

What is Freda Ezeokonkwo's specialty?

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

Is Freda Ezeokonkwo enrolled in Medicare?

Yes. Freda Ezeokonkwo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Freda Ezeokonkwo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Freda Ezeokonkwo reassigns Medicare benefits to Wellstar Medical Group, LLC (Marietta, GA). The 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 Freda Ezeokonkwo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Freda Ezeokonkwo accept?

Health plans from Alliant Health Plans, Inc. list Freda Ezeokonkwo 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 Freda Ezeokonkwo was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.