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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEO MAMORAKA EHIWE
NPI 1942947858
Dentist - General Practice in Lilburn, GA

Active since May 13, 2022PECOS Enrolled
609 BEAVER RUIN RD NW, LILBURN, GA 30047(678) 606-9407 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Jul 15, 2022, May 13, 2022 (3 updates tracked since 2022).

About Neo Mamoraka Ehiwe NPPES

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

NEO MAMORAKA EHIWE (NPI 1942947858) is an individual general practice provider in Lilburn, Georgia, licensed in North Carolina (12916) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942947858
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNEO MAMORAKA EHIWE
Location Address609 BEAVER RUIN RD NWLilburn, GA 30047-3401
Mailing Address13760 Aldenbrook DrHuntersville, NC 28078-4232
Phone(678) 606-9407
Sole ProprietorNo
Enumeration DateMay 13, 2022
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1942947858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 12916
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
609 BEAVER RUIN RD NW, Lilburn, GA 30047
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neo Mamoraka Ehiwe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30047 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 5

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

DR. MARK D THEBAUT DDS
Dentist (Pediatric Dentistry)
609 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 925-3300
DR. MARK INMAN COHEN D.D.S.
Dentist (Periodontics)
609 BEAVER RUIN RD NW, SUITE E
LILBURN, GA 30047
Gwinnett County (770) 717-5552
DR. BELEMA ABERE DMD
Dentist (Pediatric Dentistry)
609 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (305) 637-6400
MARK D THEBAUT DDS PC
Dentist (Pediatric Dentistry)
609 BEAVER RUIN RD NW, SUITE A
LILBURN, GA 30047
Gwinnett County (770) 925-3301
DR. GREGORY A CLEPPER DMD
Dentist (General Practice)
609 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 925-3300

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 Neo Ehiwe's NPI number?

The NPI number for Neo Ehiwe is 1942947858. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Where is Neo Ehiwe located?

Neo Ehiwe practices at 609 Beaver Ruin Rd NW, Lilburn, GA 30047. The listed phone number is (678) 606-9407.

What is Neo Ehiwe's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Neo Ehiwe enrolled in Medicare?

Yes. Neo Ehiwe is registered in the Medicare PECOS enrollment system.

What insurance does Neo Ehiwe accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 13 other insurers list Neo Ehiwe 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 Neo Ehiwe was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.