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IJEOMA CECILIA ANYANWU M.D.
NPI 1740418557
Pediatrics in Holly Springs, GA

Active since June 30, 2009PECOS Enrolled
684 SIXES RD STE 275, HOLLY SPRINGS, GA 30115(770) 852-2440(770) 852-2446 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 14, 2024, Jun 11, 2020 (2 updates tracked since 2020).

About Ijeoma Cecilia Anyanwu M.d. NPPES

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

IJEOMA CECILIA ANYANWU M.D. (NPI 1740418557) is an individual pediatrics provider in Holly Springs, Georgia, licensed in Georgia (81221) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740418557
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameIJEOMA CECILIA ANYANWUCredential: M.D.
Location Address684 SIXES RD STE 275Holly Springs, GA 30115-8723
Mailing Address684 Sixes Rd Ste 275Holly Springs, GA 30115-8723 · (770) 852-2440 · Fax (770) 852-2446
Phone(770) 852-2440
Fax(770) 852-2446
Sole ProprietorNo
Enumeration DateJune 30, 2009
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1740418557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 81221✔ Licensed in PA · MD446439✔ Licensed in NY · 274604
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
684 SIXES RD STE 275, Holly Springs, GA 30115
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12698 Frederick Douglass BlvdNew York, NY 10030-1219 · Phone (212) 939-8950
Location 23780 Holcomb Bridge Rd Ste CPeachtree Corners, GA 30092-4877 · Phone (770) 263-9101

Other Identifiers 3

Medicaid003212061BGA
Medicaid003212061CGA
Medicaid04078011NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ijeoma Cecilia Anyanwu M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Ijeoma Anyanwu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
22 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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 30115 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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 2

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

JENNIFER YAM MD
Family Medicine
684 SIXES RD STE 275
HOLLY SPRINGS, GA 30115
Cherokee County (404) 365-0966
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Pharmacy (Managed Care Organization Pharmacy)
684 SIXES RD STE 275
HOLLY SPRINGS, GA 30115
Cherokee County (770) 852-2440

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 Ijeoma Anyanwu's NPI number?

The NPI number for Ijeoma Anyanwu is 1740418557. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Ijeoma Anyanwu located?

Ijeoma Anyanwu practices at 684 Sixes Rd Ste 275, Holly Springs, GA 30115. The listed phone number is (770) 852-2440.

What is Ijeoma Anyanwu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ijeoma Anyanwu enrolled in Medicare?

Yes. Ijeoma Anyanwu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ijeoma Anyanwu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ijeoma Anyanwu 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 Ijeoma Anyanwu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ijeoma Anyanwu was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.