Grace Nwachukwu Ibeanusi, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN118753 Issued in GA

Practice address

896 Highway 81 E
McDonough, GA 30252-2914

Phone

(678) 732-1520

NPI assigned

Sep 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caedel Medical GroupGroup PAC ID 0648258988, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIHDBA/Endpoint/IIHDBA
• FHIR API: https://fhir4.healow.com/fhir/r4/IIHDBA

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.

• Caedel Medical Group

  • Internal Medicine Physician
  • Riverdale, GA
  • NPI 1710922075
  Medicare reassignment Care Compare group NPD
• Henry County Radiology Associates

  • Diagnostic Radiology Physician
  • Griffin, GA
  • NPI 1235382375
  NPD (past)
• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1366776924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102038",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 HIGHWAY 81 E",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522914",
            "telephone_number": "678-732-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Fairview Rd",
            "address_purpose": "LOCATION",
            "city": "Ellenwood",
            "state": "GA",
            "postal_code": "302942722",
            "country_code": "US",
            "telephone_number": "770-507-0112",
            "fax_number": "770-507-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBEANUSI",
        "first_name": "GRACE",
        "middle_name": "NWACHUKWU",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN118753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Huynh, D.C., D.M.D.
• Stephanie Hylton
• I Haul Transportation Inc
• I Truly Care LLC
• I-Care Private Home Care Services, LLC
• Fatmata Ibrahim
• Iclear Orthodontics and Braces LLC
• Idaw Solutions, Inc.
• Ideal Dental McDonough PC
• Felice Ike, FNP-C

• Family Nurse Practitioner in McDonough, GA
• Providers in McDonough, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.

Verify at the official NPI Registry.