Chibuzo E. Nwokolo, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

45077 Issued in TN

Practice address

587 Skyline Dr
Jackson, TN 38301-3938

Phone

(731) 421-6510

Fax

(731) 421-6500

NPI assigned

May 15, 2007

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
• West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130

Merit-based Incentive Payment System (MIPS)

Final score

95.74 of 100Reported as apm

Quality

85.23

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Tennessee Medical Group Inc

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1053615955
  Medicare reassignment Care Compare group NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Cumberland Valley Medical and Surgical Associates - Corbin

  • Multi-Specialty Clinic/Center
  • Corbin, KY
  • NPI 1053983908
  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba Mary Breckinridge ARH Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Hyden, KY
  • NPI 1962040758
  NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Cumberland Valley Medical and Surgical Associates

  • Rural Health Clinic/Center
  • Middlesboro, KY
  • NPI 1962908277

  Cardiovascular Disease

  NPD
• Jackson Surgical Associates. PA

  • Surgery Physician
  • Jackson, TN
  • NPI 1932154713
  NPD (past)
• Medical Advantage PLLC

  dba Brownsville Hometown Medical Clinic

  • Nurse Practitioner
  • Brownsville, TN
  • NPI 1568886596
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation
• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Martin Health

  dba West Tennessee Healthcare Volunteer Hospital

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372
  Care Compare affiliation
• Milan General Hospital, Inc.

  dba West Tennessee Healthcare Milan Hospital

  • General Acute Care Hospital
  • Milan, TN
  • NPI 1699765453
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1093921090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013938",
            "telephone_number": "731-421-6510",
            "fax_number": "731-421-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013938",
            "telephone_number": "731-421-6510",
            "fax_number": "731-421-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKOLO",
        "first_name": "CHIBUZO",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "45077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514538",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northside Medical Clinic, P.C.
• Norwood Family Eye Care, LLC
• Nothside Dental Center, PA
• Victor C Nwazue, M.D.
• Sylvester Agorua Nwedo, MD
• Benjamin Nye, DO
• Kelly C Nye, PT
• Kyla O'Brien, CNM
• Jeanne O'Connor-Egan, FNP
• Kathy Michelle O'Connor-Wray, DNP, APN, FNP-C

• Cardiovascular Disease Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.