Active NPI
Ifeanyi Obianyo Iwuchukwu, MD
- Neurology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 102651
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9000
- NPI assigned
- Aug 13, 2009
- Last updated
- Jan 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00277248 | Medicaid | MS | |
| 2317164 | Medicaid | LA | |
| 113881400 | Medicaid | FL | |
| 393149 | Medicaid | SC |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP823 | KY | MD | Internal Medicine Physician |
Practice roles (60 of 77)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Steward Medical Group, Inc. | Neurology | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Neurology | Current | Accepting new patients |
| Aspirus Merrill Hospital & Clinics, Inc. | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Hsa Florida Physician Group Inc | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Neurology | Current | Accepting new patients |
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| Butte Des Morts Pathology, S.C. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Neurology | Current | Accepting new patients |
| Intensive Care Consortium - Midwest, LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Neurology | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Aspirus Eagle River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Aspirus Merrill Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients | |
| Mary Greeley Medical Center | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Neurology | Current | Accepting new patients |
| Mary Greeley Medical Center | Current | Accepting new patients | |
| United Neuroscience, Inc | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Mary Greeley Medical Center | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Neurology | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| University of Miami | Neurology | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| SCH Professional Corporation | Neurology | Current | 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 | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | 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
- iiwuchukwu@sblhs.cernerdirect.com
- iiwuchukwu108967@direct.unc.nchie.net
- iiwuchukwu123911@direct.ochsner.org
- iiwuchukwu131598@direct.med.miami.edu
- iiwuchukwu163657@direct.novanthealth.org
- iiwuchukwu240703@direct.phs.org
- iiwuchukwu632761@direct.froedtert.com
- 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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Neurology
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Critical Care Medicine (Internal Medicine) Physician
- Wichita, KS
- NPI 1275278574
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Neurology
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
dba Aspirus Eagle River Hospital
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
-
dba Aspirus Merrill Hospital
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
dba OSF Saint Anthony Medical Center
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.