P Praxis·MD
● Active Type 1 · Individual

DR. Delores Ijeoma Ibetoh, MD

Internal Medicine·Austell, GA· NPI 1861613945 · Enumerated 2007 · 19 years on NPI
Ibetoh is 1 of 47 internal medicine providers in Austell and 1 of 5027 in Georgia.
NPI age
19 years
Enumerated 2007-05-02
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-04-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
3950 Austell Rd
Austell, GA 301061121
📞 7707324035
Mailing address
3950 Austell Rd
Austell, GA 301061121

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2000 Brookside Dr, Third Floor
Kingsport, TN 376604627
📞 4238575907fax 4238575904

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #66187TN license #44903 taxonomy 207R00000X
  • Hospitalist
    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
    GA license #66187 taxonomy 208M00000X

Identifiers

TypeValueNotes
05 (TN) 1514545
05 (VA) 1861613945
05 (TN) 1514660
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 270 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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