Anthony Chukwukelue, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN269134 Issued in GA

Practice address

5454 Yorktowne Dr
College Park, GA 30349-5317

Phone

(612) 475-9271

NPI assigned

May 7, 2025

Last updated

May 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Uhs of Anchor L.P.

  dba Southern Crescent Behavioral Health System

  • Psychiatric Hospital
  • Stockbridge, GA
  • NPI 1952537920

  Single Specialty

  Medicare reassignment NPD
• Uhs of Anchor L.P.

  dba Anchor Hospital

  • Psychiatric Hospital
  • Atlanta, GA
  • NPI 1023095429

  Single Specialty

  NPD

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1992595524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 YORKTOWNE DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495317",
            "telephone_number": "678-251-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 YORKTOWNE DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495317",
            "telephone_number": "612-475-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUKELUE",
        "first_name": "ANTHONY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN269134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Euasteria Chaney
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• Citrine Therapy Source
• Cityviewhealthcare
• CJR Special Transportation LLC
• Victoria Clark, RBT
• Clayton Pharma LLC (NuHope Pharmacy)

• Psychiatric/Mental Health Nurse Practitioner in College Park, GA
• Providers in College Park, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.