Active NPI
Martin Ikponmwosa, RN
- Registered Nurse
- Cumming, GA
National Provider Identifier
1386560480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN282537
- Practice address
- 4625 Walt CT
Cumming, GA 30028-4052 - Phone
- (404) 229-0992
- NPI assigned
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN282537 | GA | Primary |
Addresses
Primary practice location
4625 Walt CT
Cumming, GA 30028-4052
Mailing address
4625 Walt CT
Cumming, GA 30028-4052
Phone (404) 229-0992
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": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1386560480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 WALT CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300284052",
"telephone_number": "404-229-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 WALT CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300284052",
"telephone_number": "404-229-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKPONMWOSA",
"first_name": "MARTIN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN282537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- Hyperbarxs at Johns Creek, LLC
- Ideal Dental Cumming PC
- Joan Ifarinde, M.D.
- Nneamaka Ifeadike
- Nneamaka Anita Ifechukwude
- Imelda Crews, DDS, P.C. (Inspirational Smiles)
- Preston Leigh Imhof, D.O.
- Anagha Inamdar, MS
- Independent Physical Therapy of Ga, LLC
- Independent Physical Therapy of Ga, LLC (Benchmark PT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.