Simon Njelefack Ekokobe
NPI 1093345373ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Lithonia, GA
Nurse Practitioner, Psych/Mental Health with Lifesource of North Carolina, practicing in Lithonia, Georgia. Medicare paid $42,520 for services to 110 patients in 2024.
Overview
| NPI | 1093345373 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 25, 2020 |
| Last updated in NPPES | Jan 25, 2020 |
| Certified by provider | Jan 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | RN226577 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 553 across 5 procedure codes |
| Paid by Medicare | $42,520 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Lifesource of North CarolinaClinton, SC · 178 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 psychiatric nurse practitioners in Lithonia · All psychiatric nurse practitioners in Georgia