Active NPI
Justin Ikenna Ikara, MD
- Internal Medicine Physician
- Griffin, GA
National Provider Identifier
1376209726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- IKAR-I079IE
- Practice address
- 601 S 8TH St
Griffin, GA 30224-4213 - Phone
- (470) 956-4532
- Fax
- (770) 563-0726
- NPI assigned
- Nov 10, 2021
- Last updated
- Jun 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IKAR-I079IE | GA | Primary |
Addresses
Primary practice location
601 S 8TH St
Griffin, GA 30224-4213
Mailing address
601 S 8TH St
Griffin, GA 30224-4213
Phone (470) 956-4532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IKAR-I079IE | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1376209726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244213",
"telephone_number": "470-956-4532",
"fax_number": "770-563-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244213",
"telephone_number": "470-956-4532",
"fax_number": "770-563-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKARA",
"first_name": "JUSTIN",
"middle_name": "IKENNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-10",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "IKAR-I079IE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.