Charles K Agunobi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

38161 Issued in GA

Practice address

3099 Breckinridge Blvd Ste 110
Duluth, GA 30096-1011

Phone

(678) 242-8035

Fax

(678) 373-1645

NPI assigned

Oct 6, 2005

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC, TX, GA4 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 4

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstreamline LLCGroup PAC ID 2567846991, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Medstreamline LLC

  • Clinical Cardiac Electrophysiology Physician
  • Charlotte, NC
  • NPI 1992451421

  GA, SC

  Medicare reassignment Care Compare group NPD
• Benning Hospitalist Services, LLC

  • Hospitalist Physician
  • Columbus, GA
  • NPI 1215442173
  Medicare reassignment NPD
• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823

  SC

  Medicare reassignment NPD
• Muscogee Hospitalist Services, LLC

  • Hospitalist Physician
  • Columbus, GA
  • NPI 1639681851
  Medicare reassignment NPD
• Cogent Healthcare of North Carolina, PC

  • Internal Medicine Physician
  • Rocky Mount, NC
  • NPI 1548207483
  Medicare reassignment NPD
• DHHS,PHS,Naihs, Gallup Indian Medical Center

  • General Acute Care Hospital
  • Gallup, NM
  • NPI 1225002322

  TX

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of North Carolina PLLC

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1164724902
  Medicare reassignment NPD
• McLeod Health Clarendon

  • Certified Registered Nurse Anesthetist
  • Manning, SC
  • NPI 1508218793
  Medicare reassignment NPD
• Regency Hospital of Greenville, LLC

  • Long Term Care Hospital
  • Anderson, SC
  • NPI 1396747929
  Medicare reassignment NPD
• Select Specialty Hospital - Durham Inc.

  • Hospitalist Physician
  • Durham, NC
  • NPI 1457899676
  Medicare reassignment NPD
• Select Specialty Hospital - Greensboro Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1912205113
  Medicare reassignment NPD
• Sound Physicians of South Carolina, LLC

  • Hospitalist Physician
  • Aiken, SC
  • NPI 1922428358

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1609864446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 BRECKINRIDGE BLVD STE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961011",
            "telephone_number": "678-242-8035",
            "fax_number": "678-373-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 BRECKINRIDGE BLVD STE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961011",
            "telephone_number": "678-242-8035",
            "fax_number": "678-373-1645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624331",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Marietta St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524331",
            "country_code": "US",
            "telephone_number": "704-866-8030",
            "fax_number": "704-866-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504949",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "fax_number": "803-434-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUNOBI",
        "first_name": "CHARLES",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "38161",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9400694",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "9400694",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "20751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0069A",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910429",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affordable Dentures & Implants of Georgia II, LLC
• Ag Family Medicine, PC
• Agape Care Services LLC
• Agility Home Care, Inc. (Agility Home Care)
• Susy Aguiar
• Amna Ahmad
• Asrar Mussa Ahmed, PHARM.D
• Kabir Ahmed, M.D.
• Yimegnushal Ahmed Ahmed, PHARMD
• Jasmine Ahn, DDS

• Internal Medicine Physician in Duluth, GA
• Providers in Duluth, 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 Jul 14, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.