Individual provider Active NPI

Ijeoma Azonobi, M.D.

  • Public Health & General Preventive Medicine Physician
  • Atlanta, GA
National Provider Identifier
1265609424
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
62808 Issued in GA
Practice address
720 Westview Dr SW
Morehouse School of Medicine; Dept Preventive Medicine
Atlanta, GA 30310-1458
Phone
(404) 752-1629
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 62808 GA Primary

Addresses

Primary practice location

720 Westview Dr SW
Morehouse School of Medicine; Dept Preventive Medicine
Atlanta, GA 30310-1458

Mailing address

720 Westview Dr SW
Morehouse School of Medicine; Dept Preventive Medicine
Atlanta, GA 30310-1458
Phone (404) 752-1629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130305000053 GA Practitioner - Preventive Medicine 6305091943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Morehouse School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seen Medical Group of Ga, P.C.Group PAC ID 1759818719, 2 clinicians

Practice addresses (Care Compare)

1100 Lake Hearn Dr
Suite 160
Atlanta, GA 30342-1572
Phone (888) 671-5902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62808GAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Healthcare, Inc. CurrentSince Jan 25, 2013 Accepting new patients
Seen Medical Group of Ga, PC CurrentSince Jan 10, 2025 Accepting new patients
New Jersey Birdie Health PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Parsley Medical Group FL PA Past Accepting new patients
Seen Medical Group, P.a. Past Accepting new patients

Locations

720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

1100 Lake Hearn Dr
Ste 160
Sandy Springs, GA 30342
Phone (404) 255-2559

Interoperability endpoints

  • Direct secure messaging: ijeoma.azonobi.1@27511.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1265609424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "address_2": "MOREHOUSE SCHOOL OF MEDICINE; DEPT PREVENTIVE MEDICINE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-752-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "address_2": "MOREHOUSE SCHOOL OF MEDICINE; DEPT PREVENTIVE MEDICINE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-752-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZONOBI",
        "first_name": "IJEOMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "62808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.