ICECARE LLC
NPI 1366202236
Family Medicine in Roswell, GA

Q: What is Icecare LLC's NPI number?

The NPI number for Icecare LLC is 1366202236. It was assigned to this organization in the NPPES registry on March 19, 2024. The provider is doing business as VitalCare Express.

Q: What is Icecare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Icecare LLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 19, 2024CLIA 11D2305935 · Waiver

976 MANSELL RD, ROSWELL, GA 30076(770) 800-3277(770) 800-3537 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Icecare Llc NPPES

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

ICECARE LLC (NPI 1366202236), doing business as Vitalcare Express, is a healthcare organization registered as a family medicine in Roswell, Georgia and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Anthony Chukwuemeka C Iwelunmor, Md, as its authorized official.

NPPES Registry Identity

NPI1366202236

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameICECARE LLC

Location Address976 MANSELL RDRoswell, GA 30076-1533

Mailing Address976 Mansell RdRoswell, GA 30076-1533 · (770) 800-3277 · Fax (770) 800-3537

Phone(770) 800-3277

Fax(770) 800-3537

Organization SubpartNo

Authorized OfficialAnthony Chukwuemeka C IwelunmorMd · (770) 800-3277

Enumeration DateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1366202236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

976 MANSELL RD, Roswell, GA 30076

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Other Names 1

Doing Business AsVitalcare Express

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2305935

Icecare, LLC Dba Vitalcare Express · Roswell, GA

Active · expires Jun 9, 2028

CLIA Number11D2305935

Laboratory TypePhysician Office

Certificate Effective DateJune 10, 2026

Certificate Expiration DateJune 9, 2028

Laboratory DirectorAnthony C. Iwelunmor

Laboratory Phone(770) 800-3277

Laboratory LocationIcecare, LLC Dba Vitalcare Express976 Mansell Road, Roswell, GA 30075

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

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

MRS. AMANDA LEE IWELUNMOR NP

Nurse Practitioner

976 MANSELL RD
ROSWELL, GA 30076

Fulton County (770) 800-3277

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 Icecare LLC's NPI number?

The NPI number for Icecare LLC is 1366202236. It was assigned to this organization in the NPPES registry on March 19, 2024. The provider is doing business as VitalCare Express.

Where is Icecare LLC located?

Icecare LLC is located at 976 Mansell Rd, Roswell, GA 30076. The listed phone number is (770) 800-3277.

What is Icecare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Icecare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2305935) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Icecare LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Icecare LLC 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 Icecare LLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.