Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Otiwu

Individual provider Registered Nurse · NPI 1992486591

Benjamin Otiwu is a 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
Mailing address3965 Bradford Walk Trl, Buford, GA 30519-7840

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

Other providers in Buford