NPI age
11 years
Enumerated 2014-08-04
● Active
Type 1 · Individual
MRS. Ifeoma Ezeh Omoregie, PA-C
Ezeh Omoregie is 1 of 8 physician assistant providers in Braselton and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-08Enumerated in NPPES
2014
2026
Where they practice
Practice location
1404 River Pl Ste 501
Braselton, GA 305175600
Mailing address
Po Box 742616
Atlanta, GA 303742616
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantDefinition to come...
Practice context
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.