Healthcare Provider Details

I. General information

NPI: 1700423357
Provider Name (Legal Business Name): NGOZI ANGELA NKADI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2019
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2292 PEACHTREE RD NW
ATLANTA GA
30309-1147
US

IV. Provider business mailing address

PO BOX 1175750
ATLANTA GA
30368-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-996-0120
  • Fax: 404-351-6762
Mailing address:
  • Phone: 888-361-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP190565
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number64621
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: