Active NPI
Oge G Chukwu, M.D.
- Emergency Medicine Physician
- Jonesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 060569
- Practice address
- 2400 Mt. Zion Parkway
Southwood Medical Office Dept. of After Hours
Jonesboro, GA 30236 - Phone
- (770) 603-3704
- NPI assigned
- Feb 21, 2006
- Last updated
- Apr 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 110098 | MO | |
| Emergency Medicine Physician | 207P00000X | 060569 | GA | Primary |
Addresses
Primary practice location
2400 Mt. Zion Parkway
Southwood Medical Office Dept. of After Hours
Jonesboro, GA 30236
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Apogee Medical Group, Arkansas, PA | Past | Accepting new patients | |
| Poplar Bluff Hma Physician Management, LLC | Past | Accepting new patients | |
| Apogee Medical Group Missouri Inc | Past | Accepting new patients |
Locations
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213
Organizations & group practices 6
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.
-
dba Pershing Memorial Hospital
- Primary Care Clinic/Center
- Brookfield, MO
- NPI 1982612461
-
dba Communtiy Medical Associates
- Rural Health Clinic/Center
- Brookfield, MO
- NPI 1487616256
-
dba Meadville Medical Clinic
- Rural Health Clinic/Center
- Meadville, MO
- NPI 1285995944
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1679514277
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1295774610
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1598710147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1528033859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD, NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MT. ZION PARKWAY",
"address_2": "SOUTHWOOD MEDICAL OFFICE DEPT. OF AFTER HOURS",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-603-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUKWU",
"first_name": "OGE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "110098",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "060569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.