Individual provider Active NPI

Chukwuemeka Nwabuebo, M.D.

  • Specialist
  • Macon, GA
National Provider Identifier
1104879782
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
048553 Issued in GA
Practice address
654 1St St
Macon, GA 31201-2851
Phone
(478) 738-9443
Fax
(478) 738-9750
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 048553 GA Primary

Addresses

Primary practice location

654 1St St
Macon, GA 31201-2851

Mailing address

PO Box 6135
Macon, GA 31208-6135
Phone (478) 738-9443

Other identifiers 1

IdentifierTypeStateIssuer
000880239BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000524 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567427859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians
Georgia Heart Physicians LLCGroup PAC ID 0345204418, 8 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

654 1St St
Macon, GA 31201-2851
Phone (478) 738-9443

764 Pine St
Macon, GA 31201-2107
Phone (478) 633-7121

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048553GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Heart Physicians LLC CurrentSince Sep 1, 2000 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Aug 1, 2006 Accepting new patients
Macon Electrophysiology Associates PastSince Sep 1, 2000 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

105 Avera Dr
Fort Valley, GA 31030
Phone (478) 633-1458

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

654 1st St
Macon, GA 31201
Phone (478) 738-9443

800 1st St
Ste 330
Macon, GA 31201
Phone (912) 738-9443

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

540 W Thomas St
Ste E
Milledgeville, GA 31061
Phone (478) 738-9443

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1710 Watson Blvd
Warner Robins, GA 31093
Phone (478) 394-6061

Interoperability endpoints

  • Direct secure messaging: chukwuemeka.nwabuebo@ghp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA/Endpoint/HHAAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1104879782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6135",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312086135",
            "telephone_number": "478-738-9443",
            "fax_number": "478-738-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012851",
            "telephone_number": "478-738-9443",
            "fax_number": "478-738-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWABUEBO",
        "first_name": "CHUKWUEMEKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "048553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000880239B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.