Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FAITH MISSION IGC INC
NPI 1609798578
Nurse Practitioner - Primary Care in Tulsa, OK

Active since July 29, 2026
3210 S NORWOOD AVE STE A, TULSA, OK 74135(918) 932-8480 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2026, Jul 29, 2026 (2 updates tracked since 2026).

About Faith Mission Igc Inc NPPES

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

FAITH MISSION IGC INC (NPI 1609798578), doing business as Faith Mission Igc Medical Clinic, is a healthcare organization registered as a primary care in Tulsa, Oklahoma and active in the NPI registry since July 2026. The organization lists Grace Edobor, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1609798578
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameFAITH MISSION IGC INC
Location Address3210 S NORWOOD AVE STE ATulsa, OK 74135-5463
Mailing Address3210 S Norwood Ave Ste ATulsa, OK 74135-5463 · (918) 932-8480
Organization SubpartNo
Authorized OfficialGrace EdoborAuthorized Official · (918) 639-3148
Enumeration DateJuly 29, 2026
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1609798578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
3210 S NORWOOD AVE STE A, Tulsa, OK 74135

Other Names 1

Doing Business AsFaith Mission Igc Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faith Mission Igc Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Faith Mission Igc Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1659933869
7525 S TRENTON AVE
Tulsa, OK 74136
(918) 639-3148
✔ PECOS5.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Faith Mission Igc Inc's NPI number?

The NPI number for Faith Mission Igc Inc is 1609798578. It was assigned to this organization in the NPPES registry on July 29, 2026. The provider is doing business as Faith Mission IGC Medical Clinic.

Where is Faith Mission Igc Inc located?

Faith Mission Igc Inc is located at 3210 S Norwood Ave Ste A, Tulsa, OK 74135. The listed phone number is (918) 932-8480.

What is Faith Mission Igc Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Faith Mission Igc Inc enrolled in Medicare?

Yes. Faith Mission Igc Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faith Mission Igc Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Faith Mission Igc Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Faith Mission Igc Inc was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.