Omoyeme Aliceson Ehizuelen, APRN, PMHNP-BC
Specialty details in registry · Lilburn, GA
At a glance
680 Hillcrest Rd Nw Ste 400, Lilburn, GA 30047-6898
NPPES record updated Aug 7, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
This clinician has a currently effective opt-out record in the imported CMS file. Ask the practice about payment arrangements before booking.
- Effective Dec 11, 2024 through Dec 11, 2026
Source: Opt Out Affidavits : 2026-08-01 · Reporting period: 2026-08-01 to 2026-08-31 · Published Sep 21, 2026.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
680 Hillcrest Rd Nw Ste 400Lilburn, GA 30047-6898
Additional reported practice locations
1640 Powers Ferry Road SeBuilding 6 Suite 100
Marietta, GA 30067
Phone: 0000000000
Fax: 0000000000
Education & affiliations
No matching clinician background record in the imported CMS release.
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 363LP0808X
- Enumeration date
- Jul 22, 2022
- Record updated
- Aug 7, 2024
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- APRN, PMHNP-BC
Reported taxonomies and licenses
363LP0808X
License reported: RN313937 GA
363LP0808X · Primary
License reported: 313937 GA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
680 Hillcrest Rd Nw Ste 400Lilburn, GA 30047-6898
- Phone
- (404) 566-8045
- Fax
- (404) 999-6787
Mailing address
1700 NORTHSIDE DRIVE NWSUITE A7 PMB 2078
ATLANTA, GA 30318
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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