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

Obiageli Gloria Moneke

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124719273

Obiageli Gloria Moneke is a Nurse Practitioner in Riverdale, Georgia. Qualified in 2022, 4 years ago. Practices with Vitae Health Medical Georgia LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023

Practice location Address checks out

315 Uppr Riverdale RD SW
Riverdale, GA 30274-2500
Phone: (770) 991-1050
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN215855 (GA)

Record details

NPI number1124719273
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vitae Health Medical Georgia Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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