UWAGBAE IBIZUGBE
NPI 1477202869
Student in an Organized Health Care Education/Training Program in Athens, GA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 22, 2022PECOS Enrolled

1270 PRINCE AVE STE 201, ATHENS, GA 30606(706) 475-7055 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Uwagbae Ibizugbe NPPES

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

UWAGBAE IBIZUGBE (NPI 1477202869) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477202869

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameUWAGBAE IBIZUGBE

Location Address1270 PRINCE AVE STE 201Athens, GA 30606-2789

Mailing Address1199 Prince Ave # 70Athens, GA 30606-2797

Phone(706) 475-7055

Sole ProprietorNo

Enumeration DateMarch 22, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1477202869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1270 PRINCE AVE STE 201, Athens, GA 30606

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uwagbae Ibizugbe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.