NPIMap

Individual provider Active NPI

Anozie A Ukaonu, MD

  • Family Medicine Physician
  • Camilla, GA
National Provider Identifier
1497727325
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053729 Issued in GA
Practice address
725 US Highway 19 S
Camilla, GA 31730-6396
Phone
(229) 336-5208
Fax
(229) 336-2091
NPI assigned
Feb 4, 2006
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 053729 GA Primary

Addresses

Primary practice location

725 US Highway 19 S
Camilla, GA 31730-6396

Mailing address

PO Box 2548
Albany, GA 31702-2548
Phone (229) 312-5800

Other identifiers 1

IdentifierTypeStateIssuer
588952908AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tukaonu@phoebehealth.com

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
I20040917000623 GA Practitioner - Family Practice 9537151980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

875 Flat Shoals Rd SE
Conyers, GA 30094-6640
Phone (770) 785-7669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053729GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Infectious Disease CurrentSince Jul 1, 2009 Accepting new patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Mar 6, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2009 Accepting new patients
Phoebe Putney Memorial Hospital Inc Family Medicine Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Hospital Authority of Calhoun County Past Accepting new patients
Calhoun Memorial Hospital Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

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

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

151 Mayo St
Ste E
Americus, GA 31709
Phone (229) 931-1159

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

725 US Highway 19 S
Camilla, GA 31730
Phone (229) 336-5208

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

1050 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (404) 778-8605

Interoperability endpoints

  • Direct secure messaging: aukaonu546869@direct.emory.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1497727325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2548",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317022548",
            "telephone_number": "229-312-5800",
            "fax_number": "229-312-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 US HIGHWAY 19 S",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317306396",
            "telephone_number": "229-336-5208",
            "fax_number": "229-336-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKAONU",
        "first_name": "ANOZIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588952908A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tukaonu@phoebehealth.com",
            "affiliation": "N",
            "address_1": "725 US Highway 19 S",
            "city": "Camilla",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317306396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camilla, GA

Sources for this page

Verify at the official NPI Registry.