P Praxis·MD
● Active Type 1 · Individual

Inimfon E Ubom

Nurse Anesthetist, Certified Registered·Roswell, GA· NPI 1811455488 · Enumerated 2019 · 7 years on NPI
Ubom is 1 of 31 nurse anesthetist, certified registered providers in Roswell and 1 of 2157 in Georgia.
NPI age
7 years
Enumerated 2019-03-03
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 3 subspecialties
Licensed in
GA, NC, TN
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-10-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2157 active nurse anesthetist, certified registered providers in Georgia.

NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
3 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
535 Grove Park Pl
Roswell, GA 300756873
📞 4703839999
Mailing address
535 Grove Park Pl
Roswell, GA 300756873
📞 4703839999

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    GA license #RN202032NC license #006204TN license #29624 taxonomy 367500000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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