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Imose Idubor, NP

NPI 1194466607ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Dacula, GA

Nurse Practitioner, Psych/Mental Health (NP) in Dacula, Georgia, licensed in GA, with an NPI issued in April 2022. Part D covered 16 prescriptions written in 2024, 100% of them generic. Otsuka America Pharmaceutical, Inc. reported $14.77 in payments in 2024, mostly food and beverage.

Overview

NPI1194466607
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorYes
NPI issuedApr 6, 2022
Last updated in NPPESApr 11, 2022
Certified by providerApr 11, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808XRN261495GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)16 · 16 30-day fills
Total drug cost$218.85
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$14.77 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Otsuka America Pharmaceutical, Inc.$14.771

What the 2024 payments were for

  • Food and Beverage$14.77 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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