MEDICARE: NNENNA OKOR AKARONU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	T9624	TX
2	2084P0800X	Psychiatry Physician	99590	GA
3	2084P0804X	Child & Adolescent Psychiatry Physician	MD2023-0557	NM

General Provider Information

NPI Number	:	1518455666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NNENNA OKOR AKARONU MD

Provider Business Mailing Address
First Line	:	550 PHARR RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3428
Country	:	US
Telephone Number	:	404-235-5982
Fax Number	:	678-705-2756

Provider Business Practice Location Address
First Line	:	550 PHARR RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3428
Country	:	US
Telephone Number	:	404-235-5982
Fax Number	:	678-705-2756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	02/26/2026

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