Individual provider Active NPI

Chihurum Anyatoha Chigbu, ADVANCE PRACTICE NUR

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, GA
National Provider Identifier
1659097327
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN225263 Issued in GA
Practice address
2403 Osler Court, Suite B
Albany, GA 31707
Phone
(229) 888-6559
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN225263 GA Primary

Addresses

Primary practice location

2403 Osler Court, Suite B
Albany, GA 31707

Mailing address

204 N. Westover Blvd.
Albany, GA 31707
Phone (717) 645-9092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109003413 GA Practitioner - Nurse Practitioner 7113394826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN225263GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc CurrentSince Dec 12, 2022 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Dec 12, 2022 Accepting new patients
Albany Area Primary Health Care, Inc. Current Accepting new patients

Locations

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2403 Osler Ct
Ste B
Albany, GA 31707
Phone (229) 639-3135

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1659097327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N. WESTOVER BLVD.",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "717-645-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 OSLER COURT, SUITE B",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-888-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIGBU",
        "first_name": "CHIHURUM",
        "middle_name": "ANYATOHA",
        "name_prefix": "Mrs.",
        "credential": "ADVANCE PRACTICE NUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN225263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.