Individual provider Active NPI

Ike A Nwaobi, M.D.

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1417112475
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
065038 Issued in GA
Practice address
745 Poplar Rd
Newnan, GA 30265-1618
Phone
(770) 400-2353
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 065038 GA
Family Medicine Physician 207Q00000X 065038 GA Primary
Family Medicine Physician 207Q00000X 003461 GA
Hospitalist Physician 208M00000X 065038 GA

Addresses

Primary practice location

745 Poplar Rd
Newnan, GA 30265-1618

Mailing address

103 Millsford CT
Tyrone, GA 30290-1554
Phone (678) 995-9982

Other practice location 1

1800 10th Ave
Columbus, GA 31901-1513
Phone (706) 571-1120

Other practice location 2

601 S 8th St
Griffin, GA 30224-4213
Phone (704) 676-3147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110207000356 GA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 8224218391 Reassigns benefits to 17 organizations
Practice locations: Columbus, GA
I20200429000775 GA Practitioner - Internal Medicine 8224218391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians
Chronic Disease Management of Georgia LLCGroup PAC ID 7618306721, 76 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Fortis Care, PCGroup PAC ID 8527550144, 14 clinicians

Practice addresses (Care Compare)

1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436

704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000

8735 Dunwoody PL
Atlanta, GA 30350-2995
Phone (404) 458-7784

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003461GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Emergency Services, Inc. Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 20, 2018 Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Jun 1, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 20, 2018 Accepting new patients
Labady Medical Associates LLC Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Southland Cochran Emergency Medical Services, LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Jan 4, 2014 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Jul 15, 2011 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Aug 1, 2018 Accepting new patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2014 Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Feb 20, 2018 Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Jan 4, 2014 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2014 Accepting new patients
Theoria Medical CurrentSince Dec 1, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Jul 15, 2011 Accepting new patients
Fortis Care, PC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Spalding Post Acute LLC Past Accepting new patients
Piedmont Newnan Hospital, Inc. Past Accepting new patients

Locations

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

415 Airport Rd
Griffin, GA 30224
Phone (770) 227-8636

619 S 8th St
Ste 200
Griffin, GA 30224
Phone (770) 227-1587

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

1467 John Robert Dr
Ste B
Morrow, GA 30260
Phone (614) 284-4848

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

8735 Dunwoody Pl
#8456
Sandy Springs, GA 30350
Phone (404) 458-7784

211 Mathis Ave
Twin City, GA 30471
Phone (478) 763-2141

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417112475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MILLSFORD CT",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901554",
            "telephone_number": "678-995-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 POPLAR RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651618",
            "telephone_number": "770-400-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319011513",
            "country_code": "US",
            "telephone_number": "706-571-1120",
            "fax_number": "706-571-1603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244213",
            "country_code": "US",
            "telephone_number": "704-676-3147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAOBI",
        "first_name": "IKE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "065038",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "065038",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "003461",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "065038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.