KINGSLEY E IYAMU (M.D.) – Psychiatry Physician, NPI 1275615171

KINGSLEY E IYAMU (M.D.) is a healthcare provider. based in Smyrna, Georgia. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 044493 (GA). The NPI Number for KINGSLEY E IYAMU (M.D.) is 1275615171

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
KINGSLEY E IYAMU (M.D.)
NPI
1275615171
Phone
(404) 213-8526
Address
1850 LAKE PARK DR SE
Enumeration Date
19 October 2006
Last Update Date
19 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706641920
Graduation Year
1985 (41 years ago)
PAC ID
0941341978
Group Practice PAC ID
2163561259
Professional Enrollment ID
I20100112000736
Address ID
GA300765826RO401XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

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Provider Addresses for KINGSLEY E IYAMU (M.D.)

  • Lake Park Drive Southeast, Smyrna, Cobb, Georgia, 30080, United States

    218

    SMYRNA, GA 300807647

    Phone: (404) 213-8526

    Fax: (770) 438-1125

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-03-17 • Largest payer in this snapshot: Eisai Inc. ($219).

Total Amount

$301

General + Research + Ownership

Payments

5

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100112000736IPsychiatryGATBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes515252$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes229162$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes140140$0
View full utilization report →

Insurance plans in this area (ZIP 30080)

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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: 2163561259View full group profile
NameSpecialtyState
Mental Health CounselorOK
Nurse PractitionerGA
Clinical Social WorkerCA
Mental Health CounselorGA
-NC
Clinical Social WorkerGA
Nurse PractitionerGA
Clinical Social WorkerGA
Clinical Social WorkerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the standard ID for KINGSLEY E IYAMU (M.D.) in the U.S.?
In the U.S., KINGSLEY E IYAMU (M.D.) is identified by NPI 1275615171.
Does the public listing show KINGSLEY E IYAMU (M.D.) as active?
KINGSLEY E IYAMU (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say KINGSLEY E IYAMU (M.D.) does?
Insurance directories may phrase it differently, but here KINGSLEY E IYAMU (M.D.) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is KINGSLEY E IYAMU (M.D.) tied to Smyrna, Georgia?
If you are local to Smyrna, Georgia, KINGSLEY E IYAMU (M.D.) may be relevant to your search.
Why is information missing for KINGSLEY E IYAMU (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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