Icecare LLC
NPI 1366202236ActiveOrganization· Family Medicine· Roswell, GA
Family Medicine in Roswell, Georgia, registered in NPPES in March 2024. The authorized official on file is Anthony Chukwuemeka C. Iwelunmor, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366202236 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2024 |
| Last updated in NPPES | Mar 19, 2024 |
| Certified by provider | Mar 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine, Nephrology | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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