Individual provider Active NPI

Ijeoma Aguwa

  • Medical-Surgical Clinical Nurse Specialist
  • Lawrenceville, GA
National Provider Identifier
1184535809
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
RN126438 Issued in GA
Practice address
47 Towne Park Dr
Lawrenceville, GA 30044-4663
Phone
(678) 779-9647
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SM0705X RN126438 GA Primary

Addresses

Primary practice location

47 Towne Park Dr
Lawrenceville, GA 30044-4663

Mailing address

47 Towne Park Dr
Lawrenceville, GA 30044-4663
Phone (678) 779-9647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN126438GAMDMedical-Surgical Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1184535809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 TOWNE PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444663",
            "telephone_number": "678-779-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 TOWNE PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444663",
            "telephone_number": "678-779-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUWA",
        "first_name": "IJEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "GA",
            "license": "RN126438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.