Charles N. Okolo, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

048686 Issued in GA

Practice address

1151 Cleveland Ave
Suite D
East Point, GA 30344-3600

Phone

(404) 761-7949

Fax

(404) 761-7386

NPI assigned

Jan 30, 2006

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 2

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

Specialty

Gastroenterology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
• Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
• Select Specialty Hospital - Midtown Atlanta, LLC Long-term care hospital, Atlanta, GA, CCN 112004

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 and National Provider Directory roles.

• South Atlanta Digestive Diseases Associates

  • Gastroenterology Physician
  • East Point, GA
  • NPI 1841460490
  Medicare reassignment NPD
• Oracle Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Hiram, GA
  • NPI 1629350566
  NPD (past)

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

• Crawford Long Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1144203563
  Care Compare affiliation
• Prime Healthcare Foundation - Southern Regional, LLC

  • General Acute Care Hospital
  • Riverdale, GA
  • NPI 1154795581
  Care Compare affiliation
• Select Specialty Hospital Midtown Atlanta LLC

  • Long Term Care Hospital
  • Atlanta, GA
  • NPI 1235598095

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1104897024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 CLEVELAND AVE",
            "address_2": "SUITE D",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443600",
            "telephone_number": "404-761-7949",
            "fax_number": "404-761-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 CLEVELAND AVE",
            "address_2": "SUITE D",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443600",
            "telephone_number": "404-761-7949",
            "fax_number": "404-761-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLO",
        "first_name": "CHARLES",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "048686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000893483C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-0235522",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah M Nutt, LAPC
• Tichelle Carol-Denise Nyarko, MD
• Japhet N Obi
• Tamanika M Oda, LMT
• Odida,Inc.
• Isioma Chinwendu Okwumabua, M.D.
• Cayla Oliver
• Shakoora Cena Omonuwa, M.D.
• David Y. Onyabe, MD
• Operation J.U.M.P., Inc.

• Gastroenterology Physician in East Point, GA
• Providers in East Point, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.