Linus Ikechukwu Igbokwe, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

101230 Issued in GA

Practice address

2505 Newpoint Pkwy Ste 100
Lawrenceville, GA 30043-6003

Phone

(678) 257-7078

NPI assigned

May 29, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Sports Medicine

Education

Rutgers, Robert Woood Johnson Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sfe Advanced Medical ConsultingGroup PAC ID 8729334883, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: linus.igbokwe.1@17193.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GHIACD/Endpoint/GHIACD
• FHIR API: https://api.platform.athenahealth.com/17193/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sfe Advanced Medical Consulting

  • Orthopaedic Surgery Physician
  • Lawrenceville, GA
  • NPI 1144735879
  Medicare reassignment Care Compare group NPD (past)
• Orthosports1St Ga

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Kennesaw, GA
  • NPI 1326844689
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1043834732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NEWPOINT PKWY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436003",
            "telephone_number": "678-257-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NEWPOINT PKWY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436003",
            "telephone_number": "678-257-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1462 Montreal Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300846904",
            "country_code": "US",
            "telephone_number": "678-257-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGBOKWE",
        "first_name": "LINUS",
        "middle_name": "IKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "101230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idm Care, LLC
• Farid Ahmad Idris
• Umeadi E Ifeadike Jr., PHARM D
• Henrietta Igali, RN ,BSN
• Kingsley Igbinosun
• Dorothy Igbonagwam
• Bolajoko Ige, CNA
• Iggy Group, LLC
• Victor Ighodaro, PHARMD
• Ihelp Your Health Services, LLC

• Sports Medicine (Family Medicine) Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Sports Medicine (Family Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.