Individual provider Active NPI

Ijeoma Ezeobele, DFM, DHM

  • Health Educator
  • Lilburn, GA
National Provider Identifier
1225958291
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
465 Pleasant Hill Rd NW Ste 106
Lilburn, GA 30047-2768
Phone
(877) 595-0882
NPI assigned
Jul 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Health Educator 174H00000X Primary

Addresses

Primary practice location

465 Pleasant Hill Rd NW Ste 106
Lilburn, GA 30047-2768

Mailing address

465 Pleasant Hill Rd NW Ste 106
Lilburn, GA 30047-2768
Phone (877) 595-0882

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

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1225958291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PLEASANT HILL RD NW STE 106",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472768",
            "telephone_number": "877-595-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 PLEASANT HILL RD NW STE 106",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472768",
            "telephone_number": "877-595-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEOBELE",
        "first_name": "IJEOMA",
        "name_prefix": "Dr.",
        "credential": "DFM, DHM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.