Noble Chukwuemeka Iwuagwu, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

058252 Issued in GA

Practice address

150 Creekrise Dr
Peachtree City, GA 30269-4801

Phone

(706) 535-1565

NPI assigned

Aug 23, 2006

Last updated

Apr 9, 2020By 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 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pruitthealth Hospice-Union City Hospice, Union City, GA, CCN 111677
• Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
• Christian City Rehabilitation Center Nursing home, Union City, GA, CCN 115573

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCHAAA

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.

• Kekelo Medical Inc

  • Nephrology Physician
  • Peachtree City, GA
  • NPI 1306310222
  Medicare reassignment NPD Authorized official
• Piedmont Hospitalist Physicians LLC

  • Family Medicine Physician
  • Stockbridge, GA
  • NPI 1548219660

  Nephrology

  Medicare reassignment Care Compare group NPD
• City of Hope Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1447520333

  Hospitalist

  Medicare reassignment NPD
• Southern Crescent Nephrology, PC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1659328474
  Medicare reassignment NPD
• Piedmont Henry Hospital, Inc.

  • General Acute Care Hospital
  • Stockbridge, GA
  • NPI 1225034333
  NPD (past)
• Pruitthealth - Christian City, LLC

  dba Christian City Rehabilitation Center

  • Skilled Nursing Facility
  • Union City, GA
  • NPI 1720221328
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Piedmont Henry Hospital, Inc.

  • General Acute Care Hospital
  • Stockbridge, GA
  • NPI 1225034333
  Care Compare affiliation
• Pruitthealth - Christian City, LLC

  dba Christian City Rehabilitation Center

  • Skilled Nursing Facility
  • Union City, GA
  • NPI 1720221328

  Nursing home

  Care Compare affiliation
• Pruitthealth Hospice, Inc.

  dba PruittHealth Hospice - Union City

  • Community Based Hospice Care Agency
  • Union City, GA
  • NPI 1770740086
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1811004484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CREEKRISE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694801",
            "telephone_number": "706-535-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CREEKRISE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694801",
            "telephone_number": "706-535-1565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "30265",
            "country_code": "US",
            "telephone_number": "770-304-3724",
            "fax_number": "770-304-3726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWUAGWU",
        "first_name": "NOBLE",
        "middle_name": "CHUKWUEMEKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "58252",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "058252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003159140A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• In Charge Medical Professionals LLC
• Independent Physical Therapy of Ga, LLC
• Insight Assessment Solutions
• Integrated Care Resources of Georgia, LLC
• Integrated Care Resources, Inc
• Anne Marie Jackson, PT
• Kimberly Jackson, ATC
• Kadijatu Nadia Jah
• W Steen James, M.D.
• Hyoyoung Jang

• Hospitalist Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.