ICARE CLINIC & MEDSPA LLC
NPI 1275124166
Nurse Practitioner - Psychiatric/Mental Health in Decatur, GA
About Icare Clinic & Medspa Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ICARE CLINIC & MEDSPA LLC (NPI 1275124166) is a healthcare organization registered as a psychiatric/mental health in Decatur, Georgia and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Sikirat Oropo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Icare Clinic & Medspa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Icare Clinic & Medspa LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2221381
Icare Clinic & Medspa, LLC · Decatur, GAFrequently 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 Icare Clinic & Medspa LLC's NPI number?
The NPI number for Icare Clinic & Medspa LLC is 1275124166. It was assigned to this organization in the NPPES registry on February 2, 2021.
Where is Icare Clinic & Medspa LLC located?
Icare Clinic & Medspa LLC is located at 4580 Memorial Dr, Decatur, GA 30032. The listed phone number is (770) 856-8988.
What is Icare Clinic & Medspa LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Icare Clinic & Medspa LLC enrolled in Medicare?
Yes. Icare Clinic & Medspa LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Icare Clinic & Medspa LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Icare Clinic & Medspa LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Icare Clinic & Medspa LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2221381) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Icare Clinic & Medspa LLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Icare Clinic & Medspa Llc · NPI 1275124166
Psychiatric/Mental Health organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since February 2, 2021.
## Identity
- **NPI:** 1275124166 (Entity type: Organization)
- **Enumerated:** February 2, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Sikirat Oropo, OWNER
## Practice location
- **Address:** 4580 MEMORIAL DR, Decatur, GA 30032-1447
- **Phone:** (770) 856-8988
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2026
- **Other identifiers:** Other 003246181A (GA); Medicaid 734119526R (GA); Other G006535258 (GA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275124166) · Data from the CMS NPPES public registry.