Scholar Ibezim

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

138544 Issued in GA

Practice address

2272 Azalea Dr Ste a
Lawrenceville, GA 30043-2653

Phone

(770) 680-4340

NPI assigned

Feb 14, 2020

Last updated

Nov 19, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dignity Hospice and Healthcare LLC

  • Community Based Hospice Care Agency
  • Riverdale, GA
  • NPI 1811638695
  NPD Authorized official
• Passionate Care Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Lawrenceville, GA
  • NPI 1386305282
  Authorized official Same address or phone

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1184257404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 AZALEA DR STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432653",
            "telephone_number": "770-680-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 AZALEA DR STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432653",
            "telephone_number": "770-680-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Brook Hollow Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300713515",
            "country_code": "US",
            "telephone_number": "770-680-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBEZIM",
        "first_name": "SCHOLAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "GA",
            "license": "138544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Hwang, DPT
• Eugene Hwang, M.D.
• John Thomas Hydrick, M.D.
• Hyox Medical Treatment Center
• Hypertension & Kidney,PC
• Chika Ibiam
• Chinwe Ibiam, NP
• Iceberg Health LLC
• Iceberg Holdings LLC
• Mark R. Icenogle, AT-C

• Hospice Registered Nurse in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Hospice Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.