Active NPI
George Kabwe Chilupe, DO
- Family Medicine Physician
- Sumter, SC
National Provider Identifier
1104455575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LL90005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.017400 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Union County | Past | Accepting new patients | |
| Memorial Hospital of Union County | Past | Accepting new patients |
Interoperability endpoints
- george.chilupe.1@19221.direct.athenahealth.com
- 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.
-
- Urgent Care Clinic/Center
- Marysville, OH
- NPI 1093763757
-
- Community/Retail Pharmacy
- Marysville, OH
- NPI 1407474844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.