Cowry Medical Group, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

78384 Issued in GA

Legal business name

COWRY MEDICAL GROUP, LLC

Practice address

4450 Calibre Xing NW Ste 1126
Acworth, GA 30101-4104

Phone

(470) 227-8130

Fax

(470) 747-7588

NPI assigned

Feb 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Chinedu Nweke, MDNPI 1033341656

Title

Ceo

Phone

(470) 227-8130

Specialties & licenses 1

Addresses

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chinedu Patrick Nweke, M.D

  • Nephrology Physician
  • Acworth, GA
  • NPI 1033341656
  Medicare reassignment Care Compare group NPD Authorized official
• Ifeyinwa Anigbogu, MD

  • Nephrology Physician
  • Douglasville, GA
  • NPI 1720243751
  Medicare reassignment Care Compare group NPD
• Sydney Galvin

  • Family Nurse Practitioner
  • Acworth, GA
  • NPI 1871128256
  Medicare reassignment Care Compare group NPD
• Azeem A. Mohammed, MBBS

  • Nephrology Physician
  • Augusta, GA
  • NPI 1124258843
  Medicare reassignment Care Compare group NPD
• Anand Deviprakash Udupa, MD

  • Nephrology Physician
  • Acworth, GA
  • NPI 1043303084
  Medicare reassignment Care Compare group NPD
• Shoaib Muhammad Wazir, M.D

  • Nephrology Physician
  • Acworth, GA
  • NPI 1407297823
  Medicare reassignment Care Compare group NPD
• Andrea Logan Bossie, MS, RN, CNN, FNP-C

  • Family Nurse Practitioner
  • Carrollton, GA
  • NPI 1033115142
  Medicare reassignment NPD
• Pradeep Chaganti, M.D.

  • Nephrology Physician
  • Dalton, GA
  • NPI 1255680575

  Single Specialty

  Medicare reassignment NPD
• Peter Efufe Longonje, ACNP

  • Acute Care Nurse Practitioner
  • Acworth, GA
  • NPI 1255079018
  Medicare reassignment NPD
• Ayorinde Soipe, MD, MSC

  • Nephrology Physician
  • Albany, GA
  • NPI 1073074167

  Multi-Specialty

  Medicare reassignment NPD
• Bentlie Cox Tumlin, NP

  • Primary Care Nurse Practitioner
  • Canton, GA
  • NPI 1962176784
  Medicare reassignment NPD
• Julia Holsomback, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1083179816

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1730688490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 120-380",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017127",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW STE 1126",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014104",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8570 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342413",
            "country_code": "US",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Mountain Brook Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "GA",
            "postal_code": "301159078",
            "country_code": "US",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3545 Cruse Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300443169",
            "country_code": "US",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COWRY MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "NWEKE",
        "authorized_official_first_name": "CHINEDU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-227-8130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "78384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@COWRYHEALTH.COM",
            "affiliation": "N",
            "endpointDescription": "CONTACT INFORMATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4450 Calibre Xing NW Ste 1126",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301014104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CowryMedicalGroup.ChineduNweke@138667.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "103 Mountain Brook Dr Ste 100",
            "city": "Holly Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301159078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CowryMedicalGroup.ChineduNweke@138667.advancedmd-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8570 Hospital Dr",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301342413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CowryMedicalGroup.ChineduNweke@138667.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4450 Calibre Xing NW Ste 1126",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301014104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CowryMedicalGroup.ChineduNweke@138667.advancedmd-direct.com",
            "affiliation": "N",
            "address_1": "3545 Cruse Rd Ste 103",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300443169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Cottle
• Cedric Council
• Cousin Surgical Services, L.L.C.
• Herbert Louis Cousin Jr., CSA
• Cowry Home Dialysis LLC
• Donald L. Cox, R.PH
• Jennifer Rose Cox, LCSW
• Cqa Care LLC
• Narisa A. Cramer, D.M.D.
• Angela Nicole Crawford, NP

• Nephrology Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.