Active NPI
Ijeoma Okwandu Bello
- Obstetrics & Gynecology Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 91046
- Practice address
- 600 Lanier Ave W Ste 203
Fayetteville, GA 30214-1833 - Phone
- (678) 990-9468
- NPI assigned
- Jan 15, 2015
- Last updated
- Apr 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | A146591 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 91046 | GA | Primary |
Addresses
Primary practice location
600 Lanier Ave W Ste 203
Fayetteville, GA 30214-1833
Mailing address
600 Lanier Ave W Ste 203
Fayetteville, GA 30214-1833
Phone (678) 990-9468
Other practice location 1
900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667
Phone (888) 731-8994
Other practice location 2
1125 Town Center Village Dr
McDonough, GA 30253-5970
Phone (404) 365-0966
Other practice location 3
195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone (888) 731-8994
Other practice location 4
677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5913
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ibello626608@directwellstar.org | ||
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| The Southeast Permanente Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Essentia Intima LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Integrative Womens Care PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
395 Hickey Blvd
Daly City, CA 94015
Phone (650) 301-5800
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
2425 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
3650 Steve Reynolds Blvd
Duluth, GA 30096
Phone (770) 931-6010
600 Lanier Ave W
Ste 203
Fayetteville, GA 30214
Phone (678) 470-4280
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
1125 Town Center Village Dr
McDonough, GA 30253
Phone (678) 583-6557
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Interoperability endpoints
- ibello626608@directwellstar.org
Organizations & group practices 7
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Obstetrics & Gynecology
-
- Medical Specialty Clinic/Center
- Fayetteville, GA
- NPI 1275356826
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
dba Midi Health PC
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1154710010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LANIER AVE W STE 203",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141833",
"telephone_number": "678-990-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LANIER AVE W STE 203",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141833",
"telephone_number": "678-990-9468"
}
],
"practiceLocations": [
{
"address_1": "900 Old Roswell Lakes Pkwy Ste 310",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300768667",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 Town Center Village Dr",
"address_purpose": "LOCATION",
"city": "McDonough",
"state": "GA",
"postal_code": "302535970",
"country_code": "US",
"telephone_number": "404-365-0966",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "195 Page Mill Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943062073",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "677 Church St NE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601101",
"country_code": "US",
"telephone_number": "770-793-5913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKWANDU BELLO",
"first_name": "IJEOMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A146591",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "91046",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ibello626608@directwellstar.org",
"affiliation": "N",
"address_1": "677 Church St NE",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601101",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "395 Hickey Blvd",
"city": "Daly City",
"state": "CA",
"country_code": "US",
"postal_code": "940152770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.