Nicholas Kemdi Ihenacho (NPI# 1477599314, PAC ID# 7012993736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1477599314 |
| PAC ID by PECOS | 7012993736 |
| Professional Enrollment ID | I20040624001379 |
| Full Name | Nicholas Kemdi Ihenacho |
| Address |
5329 Memorial Dr A Stone Mountain GA 30083-3212 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5329 Memorial Dr A, Stone Mountain, GA 30083-3212 |
| Street Address |
5329 MEMORIAL DR A |
| City | STONE MOUNTAIN |
| State | GA |
| Zip | 30083-3212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonka D Crenshaw | Obstetrics/gynecology | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Mashanda T Campbell | Family Medicine | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Ashleigh Igbokwe-hamilton | Family Medicine | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Jamil A Harp | Obstetrics/gynecology | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Jonathan Guy | Psychiatry | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Matthew J Britton | Family Practice | Silver Wheel Moblie Care | 1276 Cedar Keys Ct, Stone Mtn, GA 30083-1811 |
| David C Feschuk | Chiropractic | 6740 James B Rivers Dr, Stone Mountain, GA 30083-2235 | |
| Elbonie N Preston | Chiropractic | 5336 E Mountain St, Stone Mountain, GA 30083-3031 | |
| Monique F Gray | Psychologist, Clinical | 913 Main St, Suite H, Stone Mountain, GA 30083-3096 | |
| Larry K Haberski | Chiropractic | 798 Rays Rd, Stone Mountain, GA 30083-3144 | |
| Find all physicians in zip 30083 | |||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
| Specialty | NEPHROLOGY |
| City + Specialty | STONE MOUNTAIN + NEPHROLOGY |
Please comment or provide details below to improve the information on Nicholas Kemdi Ihenacho.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.