Ifeoma Igboeli

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

112575 Issued in GA

Practice address

1404 River PL Ste 201
Braselton, GA 30517-5600

Phone

(770) 219-9200

Fax

(770) 219-9274

NPI assigned

May 9, 2007

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

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 2

Specialty

General Surgery

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Warren General Hospital Hospital, Warren, PA, CCN 391319
• Warren General Hospital Hospital, Warren, PA, CCN 390146

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ifeomaigboeli@directaddress.net

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

• Warren General Hospital

  dba d/b/a Warren Medical Group

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701
  Medicare reassignment Care Compare group NPD
• Great Lakes Physician Practice PC

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1730599176

  Family Medicine

  Medicare reassignment NPD
• Jamestown Area Medical Associates, L.L.P.

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1528010766

  Surgery

  NPD
• Warren General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Warren, PA
  • NPI 1407199227
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Warren Medical Group Inc

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1982610788
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Warren General Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Warren, PA
  • NPI 1376497362
  Care Compare affiliation
• Warren General Hospital

  dba d/b/a Warren Medical Group

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701

  Hospital

  Care Compare affiliation
• Warren General Hospital

  • General Acute Care Hospital
  • Warren, PA
  • NPI 1659360220
  Care Compare affiliation

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1144434374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-848-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 RIVER PL STE 201",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175600",
            "telephone_number": "770-219-9200",
            "fax_number": "770-219-9274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 Cove Cir E",
            "address_purpose": "LOCATION",
            "city": "Ashville",
            "state": "NY",
            "postal_code": "147109578",
            "country_code": "US",
            "telephone_number": "216-926-8335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGBOELI",
        "first_name": "IFEOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "253048",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "112575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ifeoma.igboeli@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremiah Huang, D.O.
• Rebecca Hublall, DMD
• Christopher R Huckle, D.O.
• Abigayle Hughes, RDN
• Tappie Faye Hurdelbrink, CNM
• Krystal N Ikemba-Madu, PHARMD
• Suzan Jackovatz, RDN, LD
• Yoomi Jang
• Holly Amber Johns, FNP-BC
• Connie Johnson

• Surgery Physician in Braselton, GA
• Providers in Braselton, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.