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

Mrs. Grace Nwachukwu Ibeanusi, NP

Individual provider Family Nurse Practitioner · NPI 1366776924

Mrs. Grace Nwachukwu Ibeanusi, NP is a Nurse Practitioner in McDonough, Georgia. Qualified in 2004, 22 years ago. Practices with Caedel Medical Group, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2009
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

896 Highway 81 E
McDonough, GA 30252-2914
Phone: (678) 732-1520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 195 Fairview Rd, Ellenwood, GA 30294-2722 — (770) 507-0112

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN118753 (GA)

Record details

NPI number1366776924
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 29, 2009
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Caedel Medical Group — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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