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

Jerome Obiagba

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1558012427

Jerome Obiagba is a Nurse Practitioner in Greenbelt, Maryland. Qualified in 2021, 5 years ago. Practices with Supportive Care of Maryland LLC, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2022
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Practice location Address checks out

6604 Springcrest Dr
Greenbelt, MD 20770-3061
Phone: (202) 725-0208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R197232 (MD)

Record details

NPI number1558012427
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2022
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address6604 Springcrest Dr, Greenbelt, MD 20770-3061

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Supportive Care Of Maryland Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Greenbelt