Active NPI
Xanbody LLC
- Health Service Clinic/Center
- Atlanta, GA
National Provider Identifier
1497548655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- XANBODY LLC
- Doing business as
- Xanbody Medical
- Practice address
- 4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714 - Phone
- (678) 390-4149
- Fax
- (678) 737-1729
- NPI assigned
- May 28, 2025
- 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
- Irene Obiageri Ibenyenwa, NURSE PRACTITIONERS
- Title
- Ceo
- Phone
- (404) 906-5056
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714
Mailing address
4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714
Phone (678) 390-4149
Other names 1
- Xanbody Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1350 Wooten Lake Rd NW
Ste 204
Kennesaw, GA 30144
Phone (678) 402-1389
1350 Wooten Lake Rd NW
Kennesaw, GA 30144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1023661816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1497548655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 PACES FERRY RD SE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395714",
"telephone_number": "678-390-4149",
"fax_number": "678-737-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 PACES FERRY RD SE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395714",
"telephone_number": "678-390-4149",
"fax_number": "678-737-1729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XANBODY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-28",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "IBENYENWA",
"authorized_official_first_name": "IRENE",
"authorized_official_middle_name": "OBIAGERI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-906-5056",
"authorized_official_credential": "NURSE PRACTITIONERS"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Xanbody Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Xanbody Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.