DR. STACEY IKEBUDU (MD) – Internal Medicine Physician, NPI 1033772298

DR. STACEY IKEBUDU (MD) is a healthcare provider. based in Cartersville, Georgia. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 41924 (AL). The NPI Number for DR. STACEY IKEBUDU (MD) is 1033772298

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACEY IKEBUDU (MD)
NPI
1033772298
Phone
(770) 382-1530
Address
960 Joe Frank Harris Pkwy SE
Enumeration Date
15 April 2019
Last Update Date
2 April 2026

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7703821530
Graduation Year
2019 (7 years ago)
PAC ID
1951710532
Group Practice PAC ID
7517342579
Professional Enrollment ID
I20221011000935
Address ID
GA301202129CA960XXSEXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. STACEY IKEBUDU (MD)

  • 960 Joe Frank Harris Pkwy SE

    Cartersville, GA 301202129

    Phone: (770) 382-1530

    Type: Location

  • Grandview Medical Center, 3690, Grandview Parkway, Cahaba Commons, Birmingham, Jefferson County, Alabama, 35243, United States

    BIRMINGHAM, AL 352433326

    Phone: (205) 971-5745

    Type: Location

  • 3690 Grandview Pkwy

    Birmingham, AL 352433326

    Phone: (205) 971-5745

    Type: Location

  • 960 JOE FRANK HARRIS PKWY SE

    CARTERSVILLE, GA 301202129

    Phone: (770) 382-1530

    Type: Location

  • PO BOX 746765

    ATLANTA, GA 303746765

    Phone: (770) 914-0116

    Fax: (770) 955-4278

    Type: Mailing

  • 2985 MACK DOBBS RD NW

    KENNESAW, GA 301522641

    Phone: (770) 914-0116

    Fax: (770) 955-4278

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-11-06 • Largest payer in this snapshot: ABBVIE INC. ($29).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210512000198IInternal MedicineALTBD
I20221011000935IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes314133$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes289101$0
99291Critical care, first 30-74 minutes11441$0
99239Hospital discharge day management, more than 30 minutes112109$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5711$0
View full utilization report →

Insurance plans in this area (ZIP 30120)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517342579View full group profile
NameSpecialtyState
Nurse PractitionerGA
H O S P I T A L I S TKY
Internal MedicineGA
Internal Medicine, HospitalistVA
Family PracticeGA
Internal MedicineAL
Family PracticeGA
Internal MedicineIL
Nephrology, Neurology, Internal Medicine, NeurologyOH
Hospitalist, Internal MedicineGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify DR. STACEY IKEBUDU (MD) with an NPI only?
You can start verification with NPI 1033772298 for DR. STACEY IKEBUDU (MD), then check state licensing separately.
Does the file indicate DR. STACEY IKEBUDU (MD) is practicing under active NPI?
Directory data currently reports DR. STACEY IKEBUDU (MD) as active.
What healthcare role does DR. STACEY IKEBUDU (MD) hold?
Scheduling teams often label DR. STACEY IKEBUDU (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. STACEY IKEBUDU (MD) on a map?
Expect Cartersville, Georgia as a primary anchor for DR. STACEY IKEBUDU (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

ROGER ALAN HISER (MD)

Internal Medicine Physician
Technology Parkway, Rome, Floyd County, Georgia, 30162, United States
NPI: 1528064581

ANTONIO V BAUTE (MD)

Cardiovascular Disease Physician
40 FOX CHASE
NPI: 1629061395
Cartersville Medical Center, 960, Joe Frank Harris Parkway Southeast, Cartersville, Bartow County, Georgia, 30121, United States
NPI: 1760472104

DR. JEFFREY DAVID ESSLINGER (M.D.)

Internal Medicine Physician
Courtyard Lane, Terrell Heights, Cartersville, Bartow County, Georgia, 30129, United States
NPI: 1255321428

KYONGCHOL KIM (MD)

Internal Medicine Physician
Parkridge Medical Center, 2333, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States
NPI: 1740265677

JOYCE MARIE DUQUETTE (M.D.)

Internal Medicine Physician
Martha Berry Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30165, United States
NPI: 1588601710

ANSHA RHEA ALEXANDER (M.D.)

Internal Medicine Physician
Cartersville Medical Center, 960, Joe Frank Harris Parkway Southeast, Cartersville, Bartow County, Georgia, 30121, United States
NPI: 1639117229

Cartersville Physician Specialists

Internal Medicine Physician
Joe Frank Harris Parkway Southeast, Cartersville, Bartow County, Georgia, 30121, United States
NPI: 1942249917

PRASAD H. RAO (M.D.)

Hospitalist Physician
677 Church St NE # 111
NPI: 1285656330