P Praxis·MD
● Active Type 1 · Individual

Omoyeme Aliceson Ehizuelen, APRN, PMHNP-BC

Nurse Practitioner·Lilburn, GA· NPI 1033844998 · Enumerated 2022 · 3 years on NPI
Ehizuelen is 1 of 11 nurse practitioner providers in Lilburn and 1 of 1622 in Georgia.
NPI age
3 years
Enumerated 2022-07-22
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
3 years
≈ at median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-07Enumerated in NPPES
2022 2026

Where they practice

Practice location
680 Hillcrest Rd Nw Ste 400
Lilburn, GA 300476898
📞 4045668045fax 4049996787
Mailing address
1700 Northside Drive Nw, Suite A7 Pmb 2078
Atlanta, GA 30318
📞 4045668045fax 4049996787

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1640 Powers Ferry Road Se, Building 6 Suite 100
Marietta, GA 30067
📞 0000000000fax 0000000000

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #313937GA license #RN313937 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Lilburn in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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