Mrs. Ifeoma Ezeh Omoregie, PA-C
Mrs. Ifeoma Ezeh Omoregie, PA-C is a Physician Assistant in Braselton, Georgia. Qualified in 2014, 12 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 12
- Licensed in
- GA
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1404 River Pl Ste 501Braselton, GA 30517-5600
Phone: (770) 534-2020
Fax: (770) 534-8025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 7186 (GA) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 7186 (GA) |
Record details
| NPI number | 1710396734 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 4, 2014 |
| Last updated in NPPES | December 8, 2020 |
| Certification date | December 8, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Northside Cardiovascular Professional Services, Llc — 142 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Braselton
-
Cynthia S Brand, PA-C
1515 River Pl Ste 100, Braselton, GA 30517-5610 · (770) 848-6195
-
Lucy Warner Choi, PA-C
2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 · (678) 344-8900
-
Lucy Anne Fischer
2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 · (678) 573-6754
-
Allison A Smith, PA
1404 River Pl Ste 401, Braselton, GA 30517-5600 · (770) 848-6190