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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ICARE CLINIC & MEDSPA LLC
NPI 1275124166
Nurse Practitioner - Psychiatric/Mental Health in Decatur, GA

Active since February 02, 2021CLIA 11D2221381 · Waiver
4580 MEMORIAL DR, DECATUR, GA 30032(770) 856-8988 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Feb 27, 2023, Aug 25, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1275124166
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameICARE CLINIC & MEDSPA LLC
Location Address4580 MEMORIAL DRDecatur, GA 30032-1447
Mailing Address4580 Memorial DrDecatur, GA 30032-1447 · (404) 963-6861 · Fax (404) 963-6072
Phone(770) 856-8988
Organization SubpartNo
Authorized OfficialSikirat OropoOwner · (770) 856-8988
Enumeration DateFebruary 2, 2021
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1275124166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4580 MEMORIAL DR, Decatur, GA 30032
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Other Identifiers 3

Other003246181AGA · 003246181a
Medicaid734119526RGA
OtherG006535258GA · Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, GA
Active · expires Apr 20, 2027
CLIA Number11D2221381
Laboratory TypePractitioner Other
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorSikirat Y. Oropo
Laboratory Phone(770) 856-8988
Laboratory LocationIcare Clinic & Medspa, LLC4580 Memorial Drive, Decatur, GA 30032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ROSE HAVEN HEALTH SERVICES , LLC
Home Health
4580 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (770) 856-8988
MS. SIKIRAT YETUNDE OROPO MSN, DNP
Nurse Practitioner (Family)
4580 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (404) 963-6861
GABRIELLA CHASE WILLIAMS ARNP
Nurse Practitioner (Gerontology)
4580 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (404) 963-6861

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 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.

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 43 days 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.