IZIEN IRUOBE IMOUKHUEDE MD
NPI 1154056620
Family Medicine in Macon, GA
About Izien Iruobe Imoukhuede Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IZIEN IRUOBE IMOUKHUEDE MD (NPI 1154056620) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (104101) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marysville, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Izien Iruobe Imoukhuede Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Izien Imoukhuede reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30307
- Reassigned Medicare billing, Georgia enrollment
- 427 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Izien Imoukhuede's NPI number?
The NPI number for Izien Imoukhuede is 1154056620. It was assigned to this individual provider in the NPPES registry on July 19, 2022.
Where is Izien Imoukhuede located?
Izien Imoukhuede practices at 420 Charter Blvd Ste 402, Macon, GA 31210. The listed phone number is (478) 757-6400.
What is Izien Imoukhuede's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Izien Imoukhuede enrolled in Medicare?
Yes. Izien Imoukhuede is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Izien Imoukhuede's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Izien Imoukhuede reassigns Medicare benefits to Piedmont Medical Care Corporation (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Izien Imoukhuede's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Izien Imoukhuede accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Izien Imoukhuede as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Izien Imoukhuede was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Izien Iruobe Imoukhuede, MD · NPI 1154056620
Family Medicine physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since July 19, 2022.
## Identity
- **NPI:** 1154056620 (Entity type: Individual)
- **Enumerated:** July 19, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 104101 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 CHARTER BLVD STE 402, Macon, GA 31210-0722
- **Phone:** (478) 757-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Piedmont Medical Care Corporation (NPI 1912956046, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154056620) · Data from the CMS NPPES public registry.