Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Izien Iruobe Imoukhuede, MD

Individual provider Family Medicine Physician · NPI 1154056620

Izien Iruobe Imoukhuede, MD is a Family Practice in Macon, Georgia. Qualified in 2022, 4 years ago. Practices with Piedmont Medical Care Corporation, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

420 Charter Blvd Ste 402
Macon, GA 31210-0722
Phone: (478) 757-6400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9710 State Ave, Marysville, WA 98270-2232 — (360) 653-1742

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 104101 (GA)

Record details

NPI number1154056620
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Piedmont Medical Care Corporation — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Macon