Active NPI
Iggy Group, LLC
- Home Health Agency
- Lawrenceville, GA
National Provider Identifier
1659858058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- IGGY GROUP, LLC
- Practice address
- 1119 Tumlin CT
Lawrenceville, GA 30045-2702 - Phone
- (404) 310-9690
- Fax
- (770) 822-9152
- NPI assigned
- Jul 27, 2018
- Last updated
- Mar 31, 2021
- 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
- Mr. Valentine Obiajulu Igwebuike Sr.
- Title
- Principal
- Phone
- (404) 310-9690
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1119 Tumlin CT
Lawrenceville, GA 30045-2702
Mailing address
1119 Tumlin CT
Lawrenceville, GA 30045-2702
Phone (404) 310-9690
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617148800000",
"number": "1659858058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 TUMLIN CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300452702",
"telephone_number": "404-310-9690",
"fax_number": "770-822-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 TUMLIN CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300452702",
"telephone_number": "404-310-9690",
"fax_number": "770-822-9152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IGGY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-27",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A",
"authorized_official_last_name": "IGWEBUIKE",
"authorized_official_first_name": "VALENTINE",
"authorized_official_middle_name": "OBIAJULU",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "404-310-9690",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.