REMIGIUS IDAEWOR NPI 1801349204

NPI Information

NPI: 1801349204
Provider Name: REMIGIUS IDAEWOR
Classification: Registered Nurse - 163WC1500X
Specialization: Community Health
Entity Type: Individual
Address: 110 EAGLE SPRING DR
SUITE C
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 480-5315

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NPI Details

Remigius Idaewor is a community health registered nurse in Stockbridge, GA. Remigius Idaewor NPI is 1801349204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 EAGLE SPRING DR
SUITE C
STOCKBRIDGE, GA
ZIP 30281-488
Phone: (678) 480-5315

The enumeration date for this NPI number is 8/2/2016 and was last updated on 8/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3747P1801X	Technician	Personal Care Attendant	PHCP009529	GEORGIA	No
2	374U00000X	Home Health Aide		PHCP009529	GEORGIA	No
3	163WC1500X	Registered Nurse	Community Health	PHCP009529	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PHCP009529	OTHER	GEORGIA	GEORGIA DEPARTMENT OF COMMUNITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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