Organization Active NPI

Iggy Group, LLC

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1659858058
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.