Individual provider Active NPI

Ifeoma O. Nwaedozie, DPM

  • Foot Surgery Podiatrist
  • Rome, GA
National Provider Identifier
1760113187
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD305049 Issued in GA
Practice address
101 John Maddox Dr NW Ste a
Rome, GA 30165-1481
Phone
(706) 232-6739
Fax
(706) 232-6750
NPI assigned
Jun 17, 2022
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X POD305049 GA Primary

Addresses

Primary practice location

101 John Maddox Dr NW Ste a
Rome, GA 30165-1481

Mailing address

101 John Maddox Dr NW Ste a
Rome, GA 30165-1481
Phone (706) 232-6739

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325001515 GA Practitioner - Podiatry 7113440769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot, Ankle and Leg Center of Rome LLCGroup PAC ID 1759553647, 2 clinicians

Practice addresses (Care Compare)

101 John Maddox Dr NW
Suite a
Rome, GA 30165-1481
Phone (706) 232-6739

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue35
Removal or shaving of skin growth17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD305049GAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot, Ankle & Leg Center of Rome LLC Single Specialty CurrentSince Mar 17, 2025 Accepting new patients
Easy Walk Foot Clinic LLC Single Specialty CurrentSince May 25, 2026 Accepting new patients
Diabetic Foot and Ankle Clinic of Georgia, Inc Single Specialty PastSince Mar 17, 2025 Accepting new patients

Locations

101 John Maddox Dr NW
Ste A
Rome, GA 30165
Phone (706) 232-6739

101 John Maddox Dr NW
Ste C
Rome, GA 30165
Phone (678) 489-6589

Interoperability endpoints

  • Direct secure messaging: inwaedozie3022928@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1760113187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JOHN MADDOX DR NW STE A",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651481",
            "telephone_number": "706-232-6739",
            "fax_number": "706-232-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOHN MADDOX DR NW STE A",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651481",
            "telephone_number": "706-232-6739",
            "fax_number": "706-232-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAEDOZIE",
        "first_name": "IFEOMA",
        "middle_name": "O.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD305049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.