1. Home
  2. Directory
  3. Georgia
  4. Evans
  5. Obstetrics Gynecology
  6. NPI Profile

PROSPER I IGBOELI
NPI 1215453881
Obstetrics & Gynecology in Evans, GA

Active since August 16, 2017PECOS Enrolled
1417 AYLESBURY DR, EVANS, GA 30809(440) 796-7593 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 21, 2022, Oct 13, 2021, Aug 16, 2017 (3 updates tracked since 2017).

About Prosper I Igboeli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPER I IGBOELI (NPI 1215453881) is an individual obstetrics & gynecology provider in Evans, Georgia, licensed in New York (202500) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1215453881
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePROSPER I IGBOELI
Location Address1417 AYLESBURY DREvans, GA 30809-8214
Mailing Address1417 Aylesbury DrEvans, GA 30809-8214 · (440) 796-7593
Phone(440) 796-7593
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
✔ NPI 1215453881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 202500
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1417 AYLESBURY DR, Evans, GA 30809
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prosper I Igboeli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234485087
PECOS Enrollment IDI20260106002607
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRI-CHIPA HOME CARE SERVICES LLC
Home Health
1417 AYLESBURY DR
EVANS, GA 30809
Columbia County (706) 380-6978

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 Prosper Igboeli's NPI number?

The NPI number for Prosper Igboeli is 1215453881. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Prosper Igboeli located?

Prosper Igboeli practices at 1417 Aylesbury Dr, Evans, GA 30809. The listed phone number is (440) 796-7593.

What is Prosper Igboeli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Prosper Igboeli enrolled in Medicare?

Yes. Prosper Igboeli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prosper Igboeli was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.