Active NPI
Chinyere Izuchukwu, NP
- Family Nurse Practitioner
- Riverdale, GA
National Provider Identifier
1942698022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AANP F1214038
- Practice address
- 2815 Carolina RDG
Riverdale, GA 30296-6021 - Phone
- (770) 907-9382
- NPI assigned
- Dec 25, 2014
- Last updated
- Nov 23, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AANP F1214038 | GA | Primary |
Addresses
Primary practice location
2815 Carolina RDG
Riverdale, GA 30296-6021
Mailing address
2815 Carolina RDG
Riverdale, GA 30296-6021
Phone (770) 907-9382
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AANP F1214038 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Current | Accepting new patients | |
| Ennoble HC DMV LLC | Past | Accepting new patients | |
| Wellness Connect | Past | Accepting new patients |
Locations
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Hospitalist Physician
- Riverdale, GA
- NPI 1033576376
-
- Nursing Care Agency
- Riverdale, GA
- NPI 1891366902
-
- Hospitalist Physician
- Griffin, GA
- NPI 1063859692
-
- Hospitalist Physician
- Cedartown, GA
- NPI 1477099588
-
- Internal Medicine Physician
- Macon, GA
- NPI 1720456163
-
- Geriatric Medicine (Family Medicine) Physician
- Fulton, MD
- NPI 1104492115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1942698022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 CAROLINA RDG",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302966021",
"telephone_number": "770-907-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 CAROLINA RDG",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302966021",
"telephone_number": "770-907-9382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZUCHUKWU",
"first_name": "CHINYERE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-25",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "AANP F1214038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 23, 2016; 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.