Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Benjamin Otiwu

Individual provider Registered Nurse · NPI 1992486591

Benjamin Otiwu is registered under Certified Registered Nurse Anesthetist (CRNA) in Buford, Georgia. Qualified in 2024, 2 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3965 Bradford Walk Trl
Buford, GA 30519-7840
Phone: (678) 488-1093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 148574 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN283773 (GA)

Record details

NPI number1992486591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 26, 2023
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients37
Services billed 37 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Emory Specialty Associates, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 694 clinicians in the practice; 12 are shown here.

Other providers in Buford