IndividualActive
Emmanuela Irebuisi, NP
NPI 1558847970 · Gerontology Nurse Practitioner · Lagrange, GA
Provider details
- NPI number
- 1558847970
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN246020 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1514 Vernon Rd
Lagrange, GA 30240-4131
Phone: (706) 812-2369
Fax: (706) 845-3194
Street-level locationGet directions
Mailing address
1514 Vernon Rd
Lagrange, GA 30240-4131
Additional practice locations (1)
- 3950 Austell RdAustell, GA 30106-1121Phone: (470) 732-4226Fax: (770) 732-4229
Registry dates
- Enumerated
- 2018-07-18
- Last updated
- 2023-02-20
- Certified
- 2023-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.