Dr Ellis Ifeanyichukwu Efobi, MD - Medicare General Practice in Stone Mountain, GA

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Dr Ellis Ifeanyichukwu Efobi, MD is a medicare enrolled "General Practice" physician in Stone Mountain, Georgia. His current practice location is 1525 E. Park Place Blvd., Suite 300, Stone Mountain, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 879-7707.

Dr Ellis Ifeanyichukwu Efobi is licensed to practice in Georgia (license number 060727) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144487018.

Contact Information

Dr Ellis Ifeanyichukwu Efobi, MD
1525 E. Park Place Blvd., Suite 300,
Stone Mountain, GA 30087-3453
(770) 879-7707
(770) 879-7708

Map and Direction




Physician's Profile

Full NameDr Ellis Ifeanyichukwu Efobi
GenderMale
SpecialityGeneral Practice
Location1525 E. Park Place Blvd., Stone Mountain, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144487018
  • Provider Enumeration Date: 05/19/2008
  • Last Update Date: 02/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8426185984
  • Enrollment ID: I20100415000312

Medical Identifiers

Medical identifiers for Dr Ellis Ifeanyichukwu Efobi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144487018NPI-NPPES
594981959AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 060727 (Georgia)Primary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 060727 (Georgia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ellis Ifeanyichukwu Efobi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ellis Ifeanyichukwu Efobi, MD
1525 E. Park Place Blvd., Suite 300,
Stone Mountain, GA 30087-3453

Ph: (770) 879-7707		Dr Ellis Ifeanyichukwu Efobi, MD
1525 E. Park Place Blvd., Suite 300,
Stone Mountain, GA 30087-3453

Ph: (770) 879-7707

Reviews and Comments


General Practice Doctors in Stone Mountain, GA

Dr. William Walter Noyd, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1755 E Park Place Blvd, Stone Mountain, GA 30087
Phone: 770-469-2040    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.