Active NPI
Samvel Artavazovich Charukhchian, M.D., PH.D.
- Gastroenterology Physician
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 051918
- Practice address
- 2012 Harobi Dr Ste B
Tucker, GA 30084-5161 - Phone
- (404) 477-0400
- Fax
- (404) 477-0401
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 051918 | GA | Primary |
Addresses
Primary practice location
2012 Harobi Dr Ste B
Tucker, GA 30084-5161
Mailing address
1086 N Hills Dr
Decatur, GA 30033-4241
Phone (404) 327-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, VA
- 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
- Gastroenterology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
2740 Ray Knight Way
Albany, GA 31707-0226
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222
Hospital & facility affiliations
- Phoebe Putney Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051918 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| MCV Associated Physicians | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Mercy Hospital, Iowa City, Iowa | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Lavista Family Medicine | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2740 Ray Knight Way
Ste 100
Albany, GA 31707
Phone (229) 312-0698
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
Interoperability endpoints
- samvel.charukhchian.1@8478.direct.athenahealth.com
- samvelcharukhchian@mic.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Community/Retail Pharmacy
- Albany, GA
- NPI 1891315420
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1982664124
-
- Primary Care Clinic/Center
- Atlanta, GA
- NPI 1538333497
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201305600000",
"number": "1841323920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 N HILLS DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334241",
"telephone_number": "404-327-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 HAROBI DR STE B",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845161",
"telephone_number": "404-477-0400",
"fax_number": "404-477-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARUKHCHIAN",
"first_name": "SAMVEL",
"middle_name": "ARTAVAZOVICH",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2008-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "051918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; 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.