Dr Adaobi C Iheduru, PSYD - Medicare Psychologist in Clarkston, GA

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Dr Adaobi C Iheduru, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Clarkston, Georgia. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Undefined Non-physician Type (specify). She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 4020 E Ponce De Leon Ave, Clarkston, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 545-2776.

Dr Adaobi C Iheduru is licensed to practice in Georgia (license number PSY004016) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578810859.

Contact Information

Dr Adaobi C Iheduru, PSYD
4020 E Ponce De Leon Ave,
Clarkston, GA 30021-1815
(470) 545-2776
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Adaobi C Iheduru
GenderFemale
SpecialityUndefined Non-physician Type (specify)
Experience13 Years
Location4020 E Ponce De Leon Ave, Clarkston, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adaobi C Iheduru graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1578810859
  • Provider Enumeration Date: 08/06/2012
  • Last Update Date: 12/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244530483
  • Enrollment ID: I20260508002311

Medical Identifiers

Medical identifiers for Dr Adaobi C Iheduru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578810859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY004016 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013812

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adaobi C Iheduru is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Adaobi C Iheduru, PSYD
4684 Stonehenge Dr,
Peachtree Corners, GA 30096-2989

Ph: () -		Dr Adaobi C Iheduru, PSYD
4020 E Ponce De Leon Ave,
Clarkston, GA 30021-1815

Ph: (470) 545-2776

Reviews and Comments


Psychologist in Clarkston, GA

Dr. Chanda Lynne Pilgrim, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 945 N Indian Creek Dr, Clarkston, GA 30021
Phone: 404-298-9005    Fax: 404-298-0046
Dr. Marilyn Cecelia Kimble, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1138 Melrose Dr, Clarkston, GA 30021
Phone: 404-508-2348    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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