Individual provider Active NPI

Paul Chukelu, M.D. M.P.H

  • Emergency Medicine Physician
  • Elberton, GA
National Provider Identifier
1376830174
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
69782 Issued in GA
Practice address
4 Medical Dr
Elberton, GA 30635-1830
Phone
(832) 208-7864
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 069782 GA
Hospitalist Physician 208M00000X 069782 GA
Emergency Medicine Physician 207P00000X 69782 GA Primary

Addresses

Primary practice location

4 Medical Dr
Elberton, GA 30635-1830

Mailing address

4 Medical Dr
Elberton, GA 30635-1830

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140623000364 GA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 5092939652 Reassigns benefits to 9 organizations
I20150722005762 AL Practitioner - Family Practice 5092939652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Ga LLC 90 clinicians
Cogent Healthcare of Georgia PC 252 clinicians
Wellstar Medical Group LLC 3,059 clinicians

Practice addresses (Care Compare)

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5555

1170 Cleveland Ave
East Point, GA 30344-3615
Phone (404) 466-1170

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

Hospital & facility affiliations

  • Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031
  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69782GAMDEmergency Medicine Physician
069782GAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Aug 27, 2017 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 27, 2016 Accepting new patients
Murray Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince May 31, 2015 Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist Current Accepting new patients
Apogee Medical Group Georgia Hospitalist CurrentSince Oct 20, 2016 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince May 31, 2015 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine Current Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 27, 2016 Accepting new patients
Caphealth LLC Current Accepting new patients
Capmedical LLC Current Accepting new patients
Flowers HB Medical Services LLC Emergency Medicine CurrentSince Sep 8, 2024 Accepting new patients
Hospital Medicine Associates LLC Hospitalist CurrentSince Sep 7, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 9, 2018 Accepting new patients
Ben Hill Emergency Group LLC Emergency Medicine CurrentSince Oct 20, 2014 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Oct 15, 2022 Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Aug 27, 2017 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Capcare Transport LLC Current Accepting new patients
Savannah Health Services, LLC General Acute Care Hospital Past Accepting new patients
Wellstar Spalding Regional Hospital, Inc General Acute Care Hospital Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

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

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Interoperability endpoints

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

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1376830174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEDICAL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEDICAL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351830",
            "telephone_number": "832-208-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKELU",
        "first_name": "PAUL",
        "credential": "M.D. M.P.H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "GA",
            "license": "069782",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "069782",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "69782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberton, GA

Sources for this page

Verify at the official NPI Registry.