Ebanga Agbor, NP - Medicare Nurse Practitioner in Alpharetta, GA

Ebanga Agbor, NP is a medicare enrolled "Nurse Practitioner" in Alpharetta, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is 12389 Crabapple Rd, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 299-1998.

Ebanga Agbor is licensed to practice in Georgia (license number RN226655) 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 1275068173.

Contact Information

Ebanga Agbor, NP
12389 Crabapple Rd,
Alpharetta, GA 30004-6328
(470) 299-1998
(470) 299-1898

Map and Direction




Provider's Profile

Full NameEbanga Agbor
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location12389 Crabapple Rd, Alpharetta, 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:
  • Ebanga Agbor graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1275068173
  • Provider Enumeration Date: 04/28/2017
  • Last Update Date: 04/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971871674
  • Enrollment ID: I20170621002855

Medical Identifiers

Medical identifiers for Ebanga Agbor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275068173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN226655 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone HospitalMarietta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group, Llc67090654021917

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. Ebanga Agbor allows following entities to bill medicare on her behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameAdvanced Spine & Pain Interventions, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184021180
PECOS PAC ID: 3971814963
Enrollment ID: O20150617001457

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. Ebanga Agbor 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
Ebanga Agbor, NP
12389 Crabapple Rd,
Alpharetta, GA 30004-6328

Ph: (470) 299-1998
Ebanga Agbor, NP
12389 Crabapple Rd,
Alpharetta, GA 30004-6328

Ph: (470) 299-1998

Reviews and Comments


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Phone: 425-449-1571    

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.