Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patience Ogechi Ibezim, PA-C

Individual provider Physician Assistant · NPI 1275023566

Patience Ogechi Ibezim, PA-C is a Physician Assistant in Douglasville, Georgia. Qualified in 2017, 9 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8901 Stonebridge Blvd Ste 100
Douglasville, GA 30134-2253
Phone: (943) 202-7100
Fax: (470) 986-7025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2257 Adam Clayton Powell Jr Blvd, New York, NY 10027-7979 — (212) 281-5252

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275023566
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 13, 2018
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

Other providers in Douglasville