Individual provider Active NPI

Ifeanyi Obianyo Iwuchukwu, MD

  • Neurology Physician
  • Gainesville, GA
National Provider Identifier
1215169974
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
102651 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-9000
NPI assigned
Aug 13, 2009
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD18915 RI
Neurology Physician 2084N0400X 100378 WI
Neurology Physician 2084N0400X MD.205842 LA
Neurology Physician 2084N0400X 102651 GA Primary
Neurology Physician 2084N0400X 0101244159 VA
Neurology Physician 2084N0400X 39314 SC
Neurology Physician 2084N0400X ME155523 FL
Neurology Physician 2084N0400X 2010-00334 NC
Neurocritical Care Physician 2084A2900X 39314 SC
Neurocritical Care Physician 2084A2900X 036123462 IL

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

7100 W 20th Ave Ste 107
Hialeah, FL 33016-1813
Phone (305) 823-8510

Other practice location 2

2801 NW 79th Ave
Doral, FL 33122-1174
Phone (786) 466-1000

Other practice location 3

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Other practice location 4

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-4325

Other practice location 5

5666 E State St
Rockford, IL 61108-2425
Phone (815) 227-2512

Other practice location 6

3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone (803) 434-8323

Other practice location 7

8770 NW 99th Path
Doral, FL 33178-2761
Phone (877) 744-6483

Other identifiers 4

IdentifierTypeStateIssuer
00277248MedicaidMS
2317164MedicaidLA
113881400MedicaidFL
393149MedicaidSC

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address iiwuchukwu228046@nghs.gadirect.net Direct
Direct Messaging Address iiwuchukwu108967@direct.UNC.nchie.net Direct
Direct Messaging Address iiwuchukwu@sblhs.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, LA, SC, MS, FL, WI, KY, IN, KS, GA, CA12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20110214000313 NC Practitioner - Neurology 6608056312 Reassigns benefits to 7 organizations
I20110808000828 IL Practitioner - NeurologyPractitioner - Critical Care (Intensivists) 6608056312 Reassigns benefits to 1 organization
I20130117000181 LA Practitioner - NeurologyPractitioner - Critical Care (Intensivists) 6608056312 Reassigns benefits to 1 organization
I20160509000878 SC Practitioner - Neurology 6608056312 Reassigns benefits to 2 organizations
I20210527001061 MS Practitioner - Neurology 6608056312 Reassigns benefits to 1 organization
I20220412002961 FL Practitioner - Neurology 6608056312 Reassigns benefits to 8 organizations
I20230428000587 WI Practitioner - Neurology 6608056312 Reassigns benefits to 10 organizations
I20231116000357 KY Practitioner - Neurology 6608056312 Reassigns benefits to 1 organization
I20231229000699 IN Practitioner - Neurology 6608056312 Reassigns benefits to 1 organization
I20240122000603 KS Practitioner - Neurology 6608056312 Reassigns benefits to 1 organization
I20250204001098 GA Practitioner - Neurology 6608056312 Reassigns benefits to 3 organizations
I20250716002992 CA Practitioner - Neurology 6608056312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Intensive Care Consortium - Midwest, LLCGroup PAC ID 2163893348, 27 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470

3 Richland Medical Park Dr
Suite 310
Columbia, SC 29203-6862
Phone (803) 434-8323

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5748

550 N Hillside St
Wichita, KS 67214-4910
Phone (615) 981-0839

5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929

71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

8166 Main St
Suite 303
Houma, LA 70360-3404
Phone (504) 842-3900

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

8770 NW 99TH Path
Doral, FL 33178-2761
Phone (877) 744-6483

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP823KYMDInternal Medicine Physician

Practice roles (60 of 77)

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Apr 27, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 22, 2012 Accepting new patients
University of Miami Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 21, 2023 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince May 8, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 22, 2012 Accepting new patients
Steward Medical Group, Inc. Neurology CurrentSince Jun 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Presbyterian Healthcare Services Neurology CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince May 8, 2023 Accepting new patients
University of Miami CurrentSince Apr 24, 2024 Accepting new patients
Hsa Florida Physician Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 8, 2023 Accepting new patients
Carle Health Medical Group CurrentSince Feb 22, 2026 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 8, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Apr 24, 2023 Accepting new patients
Methodist Medical Center of Illinois Neurology CurrentSince Apr 24, 2023 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince May 8, 2023 Accepting new patients
Butte Des Morts Pathology, S.C. Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Jul 16, 2018 Accepting new patients
Intensive Care Consortium - Midwest, LLC CurrentSince Dec 18, 2023 Accepting new patients
Prisma Health Medical Group-Midlands Neurology CurrentSince Oct 27, 2025 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Feb 23, 2021 Accepting new patients
Kern County Hospital Authority CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Kern County Hospital Authority CurrentSince Jan 1, 2026 Accepting new patients
Thedacare, Incorporated CurrentSince Mar 10, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 16, 2018 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince May 8, 2023 Accepting new patients
Ascension NE Wisconsin, Inc Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince May 8, 2023 Accepting new patients
Mary Greeley Medical Center Current Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Jul 16, 2018 Accepting new patients
Mary Greeley Medical Center CurrentSince Jul 24, 2023 Accepting new patients
United Neuroscience, Inc Neurology CurrentSince Jun 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc Psychiatry CurrentSince Oct 2, 2023 Accepting new patients
Mary Greeley Medical Center CurrentSince Jul 24, 2023 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 8, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Feb 23, 2021 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Mar 3, 2025 Accepting new patients
NMG Health Services LLC CurrentSince Sep 15, 2021 Accepting new patients
Sarah Bush Lincoln Health Center Neurology CurrentSince Apr 28, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 8, 2023 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince May 8, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
University of Miami Neurology CurrentSince Apr 24, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 8, 2023 Accepting new patients
SCH Professional Corporation Neurology CurrentSince Aug 10, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Hutchinson Regional Medical Center, Inc. Neurology CurrentSince Aug 3, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 8, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 3, 2025 Accepting new patients

Locations (25 of 91)

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262

9330 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 664-0100

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

7100 W 20th Ave
Ste 107
Hialeah, FL 33016
Phone (305) 822-1000

7150 W 20th Ave
Ste 615
Hialeah, FL 33016
Phone (305) 820-6657

1120 NW 14th St
Fl 13
Miami, FL 33136
Phone (305) 243-4951

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

29980 Network Pl
Chicago, IL 60673

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: iiwuchukwu@sblhs.cernerdirect.com
  • Direct secure messaging: iiwuchukwu108967@direct.unc.nchie.net
  • Direct secure messaging: iiwuchukwu123911@direct.ochsner.org
  • Direct secure messaging: iiwuchukwu131598@direct.med.miami.edu
  • Direct secure messaging: iiwuchukwu163657@direct.novanthealth.org
  • Direct secure messaging: iiwuchukwu240703@direct.phs.org
  • Direct secure messaging: iiwuchukwu632761@direct.froedtert.com
  • Direct secure messaging: iiwuchukwu889706@direct.ghs.myhfn.org

Organizations & group practices 77

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.

View all 77

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1215169974",
    "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": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 W 20th Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161813",
            "country_code": "US",
            "telephone_number": "305-823-8510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 NW 79th Ave",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331221174",
            "country_code": "US",
            "telephone_number": "786-466-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-4325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5666 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082425",
            "country_code": "US",
            "telephone_number": "815-227-2512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Richland Medical Park Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036862",
            "country_code": "US",
            "telephone_number": "803-434-8323",
            "fax_number": "803-434-8326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8770 NW 99th Path",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782761",
            "country_code": "US",
            "telephone_number": "877-744-6483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWUCHUKWU",
        "first_name": "IFEANYI",
        "middle_name": "OBIANYO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "MD18915",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "100378",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.205842",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "102651",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101244159",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "39314",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME155523",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2010-00334",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "SC",
            "license": "39314",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "IL",
            "license": "036123462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00277248",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317164",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113881400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393149",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iiwuchukwu228046@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring St NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iiwuchukwu108967@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iiwuchukwu@sblhs.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 Health Center Dr",
            "city": "Mattoon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "619384644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.