Active NPI
Igwebuike Onyekaba, MD
- Family Medicine Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 039650
- Practice address
- 3375 Memorial Dr
Decatur, GA 30032-2706 - Phone
- (470) 355-2340
- Fax
- (470) 355-2347
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 039650 | GA | |
| General Practice Physician | 208D00000X | 039650 | GA | |
| Family Medicine Physician | 207Q00000X | 039650 | GA | Primary |
Addresses
Primary practice location
3375 Memorial Dr
Decatur, GA 30032-2706
Mailing address
PO Box 957598
Duluth, GA 30095-9527
Phone (470) 355-2340
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01045490A | Other | IN | INDIANA LICENSE |
| 198714 | Other | NY | NEW YORK LICENSE |
| 01045490B | Other | IN | CSR |
| 25MA06176700 | Other | NJ | NEW JERSEY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3375 Memorial Dr
Decatur, GA 30032-2706
Phone (678) 878-5704
Hospital & facility affiliations
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039650 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oscar Medical Center | Current | Accepting new patients | |
| Preferred Emergency Specialists, Inc. | Emergency Medicine | Past | Accepting new patients |
| Preferred Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
| Person Emergency Physicans PA | Emergency Medicine | Past | Accepting new patients |
| Oscar Medical Center, Inc | Past | Accepting new patients | |
| Neuse River Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Dodge County Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| The Baxley and Appling County Hospital Authority | Past | Accepting new patients |
Locations
3375 Memorial Dr
Ste G
Decatur, GA 30032
Phone (404) 494-6774
3375 Memorial Dr
Decatur, GA 30032
Phone (470) 355-2340
3375 Memorial Dr
Ste B
Decatur, GA 30032
Phone (470) 355-2340
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Decatur, GA
- NPI 1871901694
-
- Physical Therapy Clinic/Center
- Decatur, GA
- NPI 1770997835
-
- Emergency Medicine Physician
- Eastman, GA
- NPI 1811176795
-
- Rural Health Clinic/Center
- Baxley, GA
- NPI 1073752143
-
- Emergency Medicine Physician
- Roxboro, NC
- NPI 1467616862
-
- Emergency Medicine Physician
- Roxboro, NC
- NPI 1558327726
-
- Emergency Medicine Physician
- Connersville, IN
- NPI 1730225194
-
- Emergency Medicine Physician
- Connersville, IN
- NPI 1326353236
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1699721605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 957598",
"city": "DULUTH",
"state": "GA",
"postal_code": "300959527",
"telephone_number": "470-355-2340",
"fax_number": "470-355-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 MEMORIAL DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300322706",
"telephone_number": "470-355-2340",
"fax_number": "470-355-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYEKABA",
"first_name": "IGWEBUIKE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "GA",
"license": "039650",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "039650",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "039650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA LICENSE",
"identifier": "01045490A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LICENSE",
"identifier": "198714",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSR",
"identifier": "01045490B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY LICENSE",
"identifier": "25MA06176700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.