Active NPI
Ihealth Clinic LLC
- Internal Medicine Physician
- Fayetteville, GA
National Provider Identifier
1306740774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- IHEALTH CLINIC LLC
- Practice address
- 155 Carnegie PL Ste 203
Fayetteville, GA 30214-3981 - Phone
- (678) 368-7197
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin Kalu
- Title
- Managing Member
- Phone
- (678) 368-7197
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU |
Addresses
Primary practice location
155 Carnegie PL Ste 203
Fayetteville, GA 30214-3981
Mailing address
155 Carnegie PL Ste 203
Fayetteville, GA 30214-3981
Phone (678) 368-7197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1306740774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CARNEGIE PL STE 203",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143981",
"telephone_number": "678-368-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CARNEGIE PL STE 203",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143981",
"telephone_number": "678-368-7197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHEALTH CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "KALU",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "678-368-7197",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.