NICHOLAS KEMDI IHENACHO MD
NPI 1477599314
Internal Medicine - Nephrology in Stone Mountain, GA

Q: What is Nicholas Ihenacho's NPI number?

The NPI number for Nicholas Ihenacho is 1477599314. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Nicholas Ihenacho's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Ihenacho was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 21, 2006PECOS Enrolled

5329 MEMORIAL DR, SUITE A, STONE MOUNTAIN, GA 30083(404) 296-7695(404) 296-7696 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas Kemdi Ihenacho Md NPPES

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

NICHOLAS KEMDI IHENACHO MD (NPI 1477599314) is an individual nephrology provider in Stone Mountain, Georgia, licensed in Georgia (038149) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477599314

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameNICHOLAS KEMDI IHENACHOCredential: MD

Location Address5329 MEMORIAL DR, SUITE AStone Mountain, GA 30083-3212

Mailing AddressPo Box 870828Stone Mountain, GA 30087-0021 · (404) 296-7695

Phone(404) 296-7695

Fax(404) 296-7696

Sole ProprietorNo

Enumeration DateJune 21, 2006

Last NPPES UpdateMay 4, 2015

✔ NPI 1477599314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in GA · 038149

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

5329 MEMORIAL DR, Stone Mountain, GA 30083

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Other Identifiers 2

Medicaid000727108DGA

Medicare UPING34112GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Kemdi Ihenacho Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30083 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

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 3

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

VERITAS DIALYSIS INC.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

5329 MEMORIAL DR, SUITE B
STONE MOUNTAIN, GA 30083

Dekalb County (678) 262-4181

ADELIENE G ISAAC DAVID

Nurse Practitioner (Adult Health)

5329 MEMORIAL DR, SUITE A
STONE MOUNTAIN, GA 30083

Dekalb County (770) 359-9592

NOVA DIALYSIS CLINIC INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

5329 MEMORIAL DR
STONE MOUNTAIN, GA 30083

Dekalb County (404) 296-7695

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 Nicholas Ihenacho's NPI number?

The NPI number for Nicholas Ihenacho is 1477599314. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Nicholas Ihenacho located?

Nicholas Ihenacho practices at 5329 Memorial Dr Suite A, Stone Mountain, GA 30083. The listed phone number is (404) 296-7695.

What is Nicholas Ihenacho's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nicholas Ihenacho enrolled in Medicare?

Yes. Nicholas Ihenacho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Ihenacho was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.