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

Mr. Ejovwoke Ughwanogho

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669321477

Mr. Ejovwoke Ughwanogho is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2026

Practice location Address checks out

680 Old Johnson Rd
Lawrenceville, GA 30045-6251
Phone: (470) 796-1471
Fax: (470) 796-1471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 214 S Apopka Ave, Inverness, FL 34452-4803 — (470) 796-1471

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN164479 (GA)

Record details

NPI number1669321477
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 26, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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