DR. ADAOBI C IHEDURU PSY.D.
NPI 1578810859
Psychologist - Clinical in Clarkston, GA

Q: What is Adaobi Iheduru's NPI number?

The NPI number for Adaobi Iheduru is 1578810859. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Q: What is Adaobi Iheduru's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Adaobi Iheduru was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 August 06, 2012PECOS EnrolledAccepts Medicare Assignment

4020 E PONCE DE LEON AVE, CLARKSTON, GA 30021(470) 545-2776 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Adaobi C Iheduru Psy.d. NPPES

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

DR. ADAOBI C IHEDURU PSY.D. (NPI 1578810859) is an individual clinical provider in Clarkston, Georgia, licensed in Georgia (PSY004016) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1578810859

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ADAOBI C IHEDURUCredential: PSY.D.

Location Address4020 E PONCE DE LEON AVEClarkston, GA 30021-1815

Mailing Address4684 Stonehenge DrPeachtree Corners, GA 30096-2989

Phone(470) 545-2776

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 6, 2012

Last NPPES UpdateDecember 30, 2025

NPPES CertifiedDecember 30, 2025

✔ NPI 1578810859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY004016

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4020 E PONCE DE LEON AVE, Clarkston, GA 30021

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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 and accepts Medicare assignment

Dr. Adaobi C Iheduru Psy.d. 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 ID244530483

PECOS Enrollment IDI20260508002311

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 30021 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

$172.43 typical visit price

range $56.84 – $172.43

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

Most-billed visit code 99205

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

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

CENTER FOR VICTIMS OF TORTURE

Psychologist

4020 E PONCE DE LEON AVE
CLARKSTON, GA 30021

Dekalb County (470) 545-2776

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 Adaobi Iheduru's NPI number?

The NPI number for Adaobi Iheduru is 1578810859. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Where is Adaobi Iheduru located?

Adaobi Iheduru practices at 4020 E Ponce De Leon Ave, Clarkston, GA 30021. The listed phone number is (470) 545-2776.

What is Adaobi Iheduru's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Adaobi Iheduru enrolled in Medicare?

Yes. Adaobi Iheduru 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 Adaobi Iheduru was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.