NPIMap

Individual provider Active NPI

Nnamdi Nkwuo

  • Emergency Medicine Physician
  • Austell, GA
National Provider Identifier
1205935343
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
055868 Issued in GA
Practice address
3950 Austell Rd
Austell, GA 30106-1121
Phone
(770) 732-4000
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 055868 GA Primary

Addresses

Primary practice location

3950 Austell Rd
Austell, GA 30106-1121

Mailing address

5665 New Northside Dr NW
Atlanta, GA 30328-5831
Phone (770) 874-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000350 GA Practitioner - Emergency Medicine 6002842903 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandy Creek Emergency Group, PCGroup PAC ID 3577905520, 44 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Allatoona Emergency Group PCGroup PAC ID 2567847684, 26 clinicians

Practice addresses (Care Compare)

1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (770) 382-1530

Hospital & facility affiliations

  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055868GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prioritymed Express NJ LLC CurrentSince Nov 23, 2020 Accepting new patients
Sandy Creek Emergency Group, PC Emergency Medicine CurrentSince Aug 23, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Aug 31, 2023 Accepting new patients
Georgia Em-I Medical Services, PC Emergency Medicine CurrentSince Nov 15, 2022 Accepting new patients
Georgia Em-I Medical Services. LLC Emergency Medicine Current Accepting new patients
Angelfish Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Georgia Em-I Medical Services, LLC Emergency Medicine CurrentSince Nov 15, 2022 Accepting new patients
Allatoona Emergency Group PC Emergency Medicine Current Accepting new patients
Cartersville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients
Paragon Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205935343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "770-732-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWUO",
        "first_name": "NNAMDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "055868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.