Active NPI
Stephen Otieno Awuor, M.D.
- Interventional Cardiology Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 99684
- Practice address
- 1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110 - Phone
- (770) 716-0051
- NPI assigned
- Jun 14, 2012
- Last updated
- Oct 3, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 99684 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | 99684 | GA | |
| Interventional Cardiology Physician | 207RI0011X | 036.150090 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036.150090 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 99684 | GA | Primary |
Addresses
Primary practice location
1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110
Mailing address
1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110
Other practice location 1
409 W Oak St
Carbondale, IL 62901
Phone (618) 529-4455
Other practice location 2
3905 W Ernestine Dr
Marion, IL 62959-5800
Phone (618) 529-4455
Other practice location 3
513 N Main St
Anna, IL 62906-1668
Phone (618) 529-4455
Other practice location 4
217 S Park Ave Ste 2
Herrin, IL 62948-3611
Phone (618) 529-4455
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sawuor28616@sih.direct-ci.com | ||
| Direct Messaging Address | sawuor28616@sih.direct-ci.com | ||
| Direct Messaging Address | sawuor28616@sih.direct-ci.com | ||
| Direct Messaging Address | sawuor28616@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
20 Francis Way
Sharpsburg, GA 30277-3589
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912
795 Poplar Rd
Suite 400
Newnan, GA 30265-2590
Phone (770) 254-6089
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.150090 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Internal Medicine | Current | Accepting new patients |
| Piedmont Athens Specialty Care LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
1267 Highway 54 W
Ste 5200
Fayetteville, GA 30214
Phone (770) 460-9777
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
795 Poplar Rd
Ste 400
Newnan, GA 30265
Phone (770) 254-6089
20 Francis Way
Ste 201
Sharpsburg, GA 30277
Phone (770) 254-6089
513 N Main St
Anna, IL 62906
Phone (618) 833-4471
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
409 W Oak St
Carbondale, IL 62901
Phone (618) 536-2565
217 S Park Ave
Ste 2
Herrin, IL 62948
3905 W Ernestine Dr
Marion, IL 62959
Phone (573) 331-5761
Interoperability endpoints
- sawuor28616@sih.direct-ci.com
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.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1790047736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W STE 2200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W STE 2200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142110",
"telephone_number": "770-716-0051"
}
],
"practiceLocations": [
{
"address_1": "409 W Oak St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "62901",
"country_code": "US",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3905 W Ernestine Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IL",
"postal_code": "629595800",
"country_code": "US",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "513 N Main St",
"address_purpose": "LOCATION",
"city": "Anna",
"state": "IL",
"postal_code": "629061668",
"country_code": "US",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "217 S Park Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483611",
"country_code": "US",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AWUOR",
"first_name": "STEPHEN",
"middle_name": "OTIENO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-14",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "99684",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "99684",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036.150090",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036.150090",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "99684",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sawuor28616@sih.direct-ci.com",
"affiliation": "N",
"address_1": "409 W Oak St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "62901",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sawuor28616@sih.direct-ci.com",
"affiliation": "N",
"address_1": "3905 W Ernestine Dr",
"city": "Marion",
"state": "IL",
"country_code": "US",
"postal_code": "629595800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sawuor28616@sih.direct-ci.com",
"affiliation": "N",
"address_1": "217 S Park Ave Ste 2",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483611",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sawuor28616@sih.direct-ci.com",
"affiliation": "N",
"address_1": "513 N Main St",
"city": "Anna",
"state": "IL",
"country_code": "US",
"postal_code": "629061668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.