Vivian Chizorom Iwu, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001071 Issued in GA

Practice address

540 Powder Springs St Ste B6
Marietta, GA 30064-3559

Phone

(770) 702-8723

Fax

(770) 702-8809

NPI assigned

Apr 3, 2007

Last updated

Sep 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: viwu@cpci-ga.direct.office.nextgen.com

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.

• Choice Podiatry Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
  • NPI 1053583666
  Medicare reassignment NPD
• Choice Podiatry Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
  • NPI 1043827280
  NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1811019730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "STE 402",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401254",
            "telephone_number": "678-947-0973",
            "fax_number": "678-947-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE B6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643559",
            "telephone_number": "770-702-8723",
            "fax_number": "770-702-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Atlanta Hwy",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300408099",
            "country_code": "US",
            "telephone_number": "678-947-0973",
            "fax_number": "678-947-2836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWU",
        "first_name": "VIVIAN",
        "middle_name": "CHIZOROM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "924062921A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00460780",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ium Consulting Services
• Felicia Ivey, MS, OTR/L
• Ivo Horak OD PC
• Ivy Health Case Management LLC
• Ivynest Health LLC
• Jolomi Naomi Iyoha, MD
• Anthony Izore, NP
• J & J Health Services
• J&T Family Ventures,Inc (Cooperative Chiropractic)
• Mitchell Jablow

• Foot & Ankle Surgery Podiatrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.