DR. ADAOBI C IHEDURU PSY.D.
NPI 1578810859
Psychologist - Clinical in Clarkston, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Adaobi Iheduru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Adaobi Iheduru's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adaobi Iheduru reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adaobi Iheduru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adaobi Iheduru accept?
Health plans from Oscar Health list Adaobi Iheduru 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 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 10 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.
# Dr. Adaobi C Iheduru, PSY.D. · NPI 1578810859
Clinical provider in Clarkston, Georgia. Individual provider, active in the CMS NPPES registry since August 6, 2012.
## Identity
- **NPI:** 1578810859 (Entity type: Individual)
- **Enumerated:** August 6, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY004016 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4020 E PONCE DE LEON AVE, Clarkston, GA 30021-1815
- **Phone:** (470) 545-2776
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578810859) · Data from the CMS NPPES public registry.