MRS. GRACE NWACHUKWU IBEANUSI NP
NPI 1366776924
Nurse Practitioner - Family in Mcdonough, GA

Active since September 29, 2009PECOS EnrolledAccepts Medicare Assignment
896 HIGHWAY 81 E, MCDONOUGH, GA 30252(678) 732-1520 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Grace Nwachukwu Ibeanusi Np NPPES

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

MRS. GRACE NWACHUKWU IBEANUSI NP (NPI 1366776924) is an individual family provider in Mcdonough, Georgia, licensed in Georgia (RN118753) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ellenwood, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1366776924
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GRACE NWACHUKWU IBEANUSICredential: NP
Location Address896 HIGHWAY 81 EMcdonough, GA 30252-2914
Mailing AddressPo Box 102038Atlanta, GA 30368-2038
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 29, 2009
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
NPI 1366776924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN118753
896 HIGHWAY 81 E, Mcdonough, GA 30252

Secondary Practice Location 1

Location 1195 Fairview RdEllenwood, GA 30294-2722 · Phone (770) 507-0112 · Fax (770) 507-9450

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Grace Nwachukwu Ibeanusi Np 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.

PECOS PAC ID5991980872
PECOS Enrollment IDI20110420000334
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 30252 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 10

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

Nurse Practitioner (Family)
896 HIGHWAY 81 E
MCDONOUGH, GA 30252
Pharmacist
896 HIGHWAY 81 E
MCDONOUGH, GA 30252
Pharmacist
896 HIGHWAY 81 E
MCDONOUGH, GA 30252
Nurse Practitioner
896 HIGHWAY 81 E
MCDONOUGH, GA 30252
Pharmacist
896 HIGHWAY 81 E
MCDONOUGH, GA 30252
Pharmacist
896 HIGHWAY 81 E
MCDONOUGH, GA 30252
Pharmacy
896 HIGHWAY 81 E
MCDONOUGH, GA 30252
Pharmacist
896 HIGHWAY 81 E
MCDONOUGH, GA 30252

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 Grace Ibeanusi's NPI number?

The NPI number for Grace Ibeanusi is 1366776924. It was assigned to this individual provider in the NPPES registry on September 29, 2009.

Where is Grace Ibeanusi located?

Grace Ibeanusi practices at 896 Highway 81 E, Mcdonough, GA 30252. The listed phone number is (678) 732-1520.

What is Grace Ibeanusi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grace Ibeanusi enrolled in Medicare?

Yes. Grace Ibeanusi 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.

When was this NPI record last updated?

The NPPES record for Grace Ibeanusi was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.