Samuel Chuka Obiorah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42379 Issued in GA

Practice address

347 Broadmoor Way
McDonough, GA 30253-4290

Phone

(770) 653-6804

NPI assigned

Nov 21, 2006

Last updated

Jan 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 37)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: samuel.obiorah.1@13125.direct.athenahealth.com

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

• Baldwin Emergency Group, LLC

  • Emergency Medicine Physician
  • Milledgeville, GA
  • NPI 1306206826
  Medicare reassignment NPD
• Fort Oglethorpe Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Blue Ridge, GA
  • NPI 1174024376
  Medicare reassignment NPD
• Georgia Em-I Medical Services. LLC

  • Nurse Practitioner
  • Bremen, GA
  • NPI 1851569560

  Emergency Medicine

  Medicare reassignment NPD
• Georgia Emergency Group, LLC

  • Emergency Medicine Physician
  • Griffin, GA
  • NPI 1952746638
  Medicare reassignment NPD
• Hightower Emergency Group, PC

  • Emergency Medicine Physician
  • Thomaston, GA
  • NPI 1790285815
  Medicare reassignment NPD
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1013338193
  Medicare reassignment NPD
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  Medicare reassignment NPD
• Peach Emergency Group LLC

  • Emergency Medicine Physician
  • Byron, GA
  • NPI 1902165327
  Medicare reassignment NPD
• Phoebe Sumter Medical Center, Inc.

  • General Acute Care Hospital
  • Americus, GA
  • NPI 1609001312
  Medicare reassignment NPD
• Reid Emergency Group, PC

  • Emergency Medicine Physician
  • Eatonton, GA
  • NPI 1659872497
  Medicare reassignment NPD
• South Georgia Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386903649
  Medicare reassignment NPD
• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1265507818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 BROADMOOR WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534290",
            "telephone_number": "770-653-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 BROADMOOR WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534290",
            "telephone_number": "770-653-6804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Lake Oconee Pkwy",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310248512",
            "country_code": "US",
            "telephone_number": "706-485-2711",
            "fax_number": "706-485-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 N Cobb St",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310612343",
            "country_code": "US",
            "telephone_number": "478-454-3500",
            "fax_number": "478-454-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIORAH",
        "first_name": "SAMUEL",
        "middle_name": "CHUKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "042379",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "42379",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "42379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000715107Q",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1265507818",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edna Mae Norwood II
• Nurse Pro Staffing, Inc.
• Nurses 4 You at Home LLC
• Anthony O'Meara, M.D.
• Kayla Oates
• Darlington Ocansey, LCSW
• David Odorisio, D.C.
• Brad Alan Oglesby, APRN
• Cason Ogletree
• Melissa D Ogletree

• Internal Medicine Physician in McDonough, GA
• Providers in McDonough, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.

Verify at the official NPI Registry.