Active NPI
Chukwudi Christian Nwawka, MD
- Obstetrics & Gynecology Physician
- Riverdale, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 040501
- Practice address
- 33 Upper Riverdale Rd SW Ste 21
Riverdale, GA 30274-2617 - Phone
- (470) 885-3096
- Fax
- (770) 991-0041
- NPI assigned
- May 7, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 040501 | GA | Primary |
Addresses
Primary practice location
33 Upper Riverdale Rd SW Ste 21
Riverdale, GA 30274-2617
Mailing address
33 Upper Riverdale Rd SW Ste 21
Riverdale, GA 30274-2617
Phone (470) 885-3096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000672185O | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@taragynecology.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040501 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Lodestar Obstetrics and Gynecology LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Prime Healthcare Foundation - Southern Regional, LLC | Past | Accepting new patients |
Locations
203 Medical Way
Ste A
Riverdale, GA 30274
Phone (404) 991-1319
33 Upper Riverdale Rd SW
Ste 21
Riverdale, GA 30274
Phone (770) 897-7043
505 E Grant St
Ste 102
Macomb, IL 61455
Phone (309) 833-5959
503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917
515 E Grant St
Ste 112
Macomb, IL 61455
Phone (309) 833-4104
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Macomb, IL
- NPI 1609180082
-
- Obstetrics & Gynecology Physician
- Riverdale, GA
- NPI 1538640495
-
- Community/Retail Pharmacy
- Macomb, IL
- NPI 1245098458
-
- Anatomic Pathology & Clinical Pathology Physician
- Macomb, IL
- NPI 1396055869
-
- General Acute Care Hospital
- Riverdale, GA
- NPI 1154795581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1891961066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 UPPER RIVERDALE RD SW STE 21",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742617",
"telephone_number": "470-885-3096",
"fax_number": "770-991-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 UPPER RIVERDALE RD SW STE 21",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742617",
"telephone_number": "470-885-3096",
"fax_number": "770-991-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAWKA",
"first_name": "CHUKWUDI",
"middle_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "040501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000672185O",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@taragynecology.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "33 Upper Riverdale Rd SW Ste 21",
"city": "Riverdale",
"state": "GA",
"country_code": "US",
"postal_code": "302742617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.