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

Romanus C Obialor

Individual provider Nurse Practitioner · NPI 1720571474

Romanus C Obialor is a Nurse Practitioner in Austell, Georgia. Graduated from University of South Alabama College of Medicine in 2017, 9 years ago. Practices with The Bortolazzo Group, LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Trained at
University of South Alabama College of Medicine
Licensed in
GA
In the registry since
2018

Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 732-3800
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 160724 (GA)

Record details

NPI number1720571474
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2018
Last updated in NPPESJune 7, 2018
Mailing address5665 New Northside Dr, Atlanta, GA 30328-5831

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice The Bortolazzo Group, Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Austell