Akpomudiare Samuel Otuguor, MD - Medicare Emergency Medicine in Hapeville, GA

Akpomudiare Samuel Otuguor, MD is a medicare enrolled "Family Medicine" physician in Hapeville, Georgia. He graduated from medical school in 1997 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Concord Medical Group Pllc, Concord Medical Group Of Texas Pllc and his current practice location is 535 N Central Ave, Hapeville, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 761-4040.

Akpomudiare Samuel Otuguor is licensed to practice in Iowa (license number 38788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154534303.

Contact Information

Akpomudiare Samuel Otuguor, MD
535 N Central Ave,
Hapeville, GA 30354-1603
(404) 761-4040
(404) 761-4008

Map and Direction




Physician's Profile

Full NameAkpomudiare Samuel Otuguor
GenderMale
SpecialityEmergency Medicine
Experience29 Years
Location535 N Central Ave, Hapeville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Akpomudiare Samuel Otuguor graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1154534303
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 02/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052468972
  • Enrollment ID: I20211214003071

Medical Identifiers

Medical identifiers for Akpomudiare Samuel Otuguor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154534303NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD.38189 (Alabama)Secondary
207Q00000XFamily Medicine 4301086102 (Michigan)Secondary
207Q00000XFamily Medicine 65599 (Georgia)Secondary
208M00000XHospitalist 38189 (Alabama)Secondary
207Q00000XFamily Medicine 38788 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Paris Regional HealthParis, TXHospital
Lawton Indian HospitalLawton, OKHospital
Baylor Scott & White Emergency HospitalAubrey, TXHospital
Mid Coast Medical Center - CentralLlano, TXHospital
Faith Community HospitalJacksboro, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Concord Medical Group Pllc0446296818189
Concord Medical Group Of Texas Pllc7810117223319

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Akpomudiare Samuel Otuguor allows following entities to bill medicare on his behalf.
Entity NameThird Coast Emergency Physicians Southwest PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497793475
PECOS PAC ID: 6800794447
Enrollment ID: O20031222000126
Entity NameLawton Indian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760489223
PECOS PAC ID: 6406800234
Enrollment ID: O20050304000301
Entity NameConcord Medical Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameConcord Medical Group of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameCentury Integrated Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447615711
PECOS PAC ID: 6406151703
Enrollment ID: O20160224002152
Entity NameNorth Texas Physician Services, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992586150
PECOS PAC ID: 6305295429
Enrollment ID: O20231213004113
Entity NameLake Granbury Hospital-based Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689443467
PECOS PAC ID: 3971940966
Enrollment ID: O20240326003607
Entity NameTyler Physician Services PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225898034
PECOS PAC ID: 3678912870
Enrollment ID: O20240422000594

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Akpomudiare Samuel Otuguor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Akpomudiare Samuel Otuguor, MD
535 N Central Ave,
Hapeville, GA 30354-1603

Ph: (404) 761-4040
Akpomudiare Samuel Otuguor, MD
535 N Central Ave,
Hapeville, GA 30354-1603

Ph: (404) 761-4040

Reviews and Comments


Family Medicine Doctors in Hapeville, GA

Hedy Urueta Mazzilli, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Virginia Ave Ste 100, Hapeville, GA 30354
Phone: 404-537-1636    Fax: 404-537-1638

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.