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

Inimfon E Ubom

Individual provider Certified Registered Nurse Anesthetist · NPI 1811455488

Inimfon E Ubom is a Certified Registered Nurse Anesthetist (CRNA) in Roswell, Georgia. Qualified in 2019, 7 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in Georgia, North Carolina and Tennessee.

Years since qualifying
7
Licensed in
GA, NC, TN
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

535 Grove Park Pl
Roswell, GA 30075-6873
Phone: (470) 383-9999
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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 RN202032 (GA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 006204 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 29624 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811455488
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2019
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address535 Grove Park Pl, Roswell, GA 30075-6873

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roswell