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Active NPI 1518669696 Individual Practitioner Female Practitioner

Eunice Roseline Koboo

Nurse Practitioner - Gerontology • Lithonia, GA

Professional Overview & Biography Verified Profile Summary

Eunice Koboo is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Lithonia, GA. Practice services are available at 7493 REDBUD LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7493 Redbud Loop

Lithonia, GA 300383364

Telephone 4046044597

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Lithonia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Lithonia, GA (296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-21
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License GA RN203401

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active March 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2023

Registered at 7493 REDBUD LOOP, LITHONIA, GA 300383364 (Tel: 4046044597)

📍
Updated Business Mailing Address March 21, 2023

Registered at 7493 REDBUD LOOP, LITHONIA, GA 300383364 (Tel: 4046044597)

👤
Provider Name / Credentials Updated March 21, 2023

Recorded as EUNICE KOBOO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2023

Nurse Practitioner (License #RN203401 in GA)

🟢
Initial NPI Registration & Enumeration March 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518669696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2023
Last Update: March 21, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

7493 Redbud Loop

Lithonia, GA 300383364

Phone: 4046044597

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.