Enoma Evbuomwan
Enoma Evbuomwan is a Physician Assistant in Mableton, Georgia. Qualified in 2014, 12 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.
- Years since qualifying
- 12
- Licensed in
- GA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
1400 Veterans Memorial Hwy SE # 563Mableton, GA 30126-2945
Phone: (470) 600-8494
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 500 Nathan Dean Blvd Ste 105, Dallas, GA 30157-4911 — (470) 624-6792
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 007457 (GA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1578954640 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 11, 2015 |
| Last updated in NPPES | March 17, 2026 |
| Certification date | March 17, 2026 |
| Mailing address | 4519 Woodruff Rd Ste 4, Columbus, GA 31904-6096 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Wellstreet Of Georgia Pc — 431 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |