Edwige Goby Konwo-tayo, - Medicare Nurse Practitioner in Stone Mountain, GA

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Edwige Goby Konwo-tayo, is a medicare enrolled "Nurse Practitioner - Family" physician in Stone Mountain, Georgia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellstreet Of Georgia Pc and her current practice location is 1183 S Hairston Rd Ste A, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 296-8858.

Edwige Goby Konwo-tayo is licensed to practice in Georgia (license number RN220667) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538646526.

Contact Information

Edwige Goby Konwo-tayo,
1183 S Hairston Rd Ste A,
Stone Mountain, GA 30088-2796
(404) 296-8858
Not Available

Map and Direction




Physician's Profile

Full NameEdwige Goby Konwo-tayo
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1183 S Hairston Rd Ste A, Stone Mountain, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edwige Goby Konwo-tayo graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1538646526
  • Provider Enumeration Date: 07/23/2018
  • Last Update Date: 12/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9335576032
  • Enrollment ID: I20200218002729

Medical Identifiers

Medical identifiers for Edwige Goby Konwo-tayo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538646526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine RN220667 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN220667 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstreet Of Georgia Pc7517126279384

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edwige Goby Konwo-tayo allows following entities to bill medicare on her behalf.
Entity NameGeorgia Urgent Care, - Alpharetta, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922133768
PECOS PAC ID: 4183707714
Enrollment ID: O20080206000004
Entity NameWellstreet Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603

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. Edwige Goby Konwo-tayo 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
Edwige Goby Konwo-tayo,
814 Lazarus Dr,
Woodstock, GA 30188-5100

Ph: (404) 825-6874		Edwige Goby Konwo-tayo,
1183 S Hairston Rd Ste A,
Stone Mountain, GA 30088-2796

Ph: (404) 296-8858

Reviews and Comments



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.