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

Raven Ifoma Elosiebo-Walker, MD

Individual provider Dermatology Physician · NPI 1437441797

Raven Ifoma Elosiebo-Walker, MD is a Dermatology in Tucker, Georgia. Graduated from University of Tennessee, Hsc, College of Medicine in 2011, 15 years ago. Practices with Dermatology Specialists of Georgia LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
GA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1462 Montreal Rd Ste 411
Tucker, GA 30084-6932
Phone: (404) 296-8000
Fax: (770) 493-6842
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 74090 (GA)

Record details

NPI number1437441797
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2011
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Dermatology Specialists Of Georgia Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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