1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. JASON IJEOMA D.O.
NPI 1891545620
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since March 25, 2024PECOS Enrolled
665 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046(678) 312-1000 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jason Ijeoma D.o. NPPES

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

DR. JASON IJEOMA D.O. (NPI 1891545620) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891545620
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JASON IJEOMACredential: D.O.
Location Address665 DULUTH HWY STE 401Lawrenceville, GA 30046-4303
Mailing AddressPo Box 1190Lawrenceville, GA 30046-1190
Phone(678) 312-1000
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1891545620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
665 DULUTH HWY STE 401, Lawrenceville, GA 30046
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Ijeoma D.o. 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.

Other Providers at the Same Location NPPES 20

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

MEDHA SUTHAR
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
DR. MICHAEL CURTIS CRANFORD DO
Family Medicine
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
TAL DVORA GREBER MD
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (470) 659-2527
ANJIYA ASWANI
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
DR. MADHURIMA ADULLA M.D
Internal Medicine (Nephrology)
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
DR. TARA LANE M.D.
Internal Medicine
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
DR. MARTIN EPHREM FELIX JR. MD
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4072
KUSH NIGAM PATHAK DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450

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 Jason Ijeoma's NPI number?

The NPI number for Jason Ijeoma is 1891545620. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Jason Ijeoma located?

Jason Ijeoma practices at 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046. The listed phone number is (678) 312-1000.

What is Jason Ijeoma's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jason Ijeoma enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jason Ijeoma was last updated on March 25, 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.