Individual provider Active NPI

George Kabwe Chilupe, DO

  • Family Medicine Physician
  • Sumter, SC
National Provider Identifier
1104455575
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LL90005 Issued in SC
Practice address
30 Cuttino Rd
Sumter, SC 29150-2667
Phone
(803) 778-2442
Fax
(803) 778-0880
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.017400 OH
Family Medicine Physician 207Q00000X LL90005 SC Primary

Addresses

Primary practice location

30 Cuttino Rd
Sumter, SC 29150-2667

Mailing address

30 Cuttino Rd
Sumter, SC 29150-2667
Phone (803) 778-2442

Other practice location 1

120 Colemans Crossing Blvd Ste B
Marysville, OH 43040-7115
Phone (937) 578-4310

Other practice location 2

1958 E US Highway 36
Urbana, OH 43078-9799
Phone (937) 652-5019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.017400OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Union County PastSince Jan 19, 2015 Accepting new patients
Memorial Hospital of Union County Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: george.chilupe.1@19221.direct.athenahealth.com
  • Direct secure messaging: george.chilupe.1@19222.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1104455575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CUTTINO RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502667",
            "telephone_number": "803-778-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CUTTINO RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502667",
            "telephone_number": "803-778-2442",
            "fax_number": "803-778-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Colemans Crossing Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430407115",
            "country_code": "US",
            "telephone_number": "937-578-4310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1958 E US Highway 36",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430789799",
            "country_code": "US",
            "telephone_number": "937-652-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILUPE",
        "first_name": "GEORGE",
        "middle_name": "KABWE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL90005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.