| Dr Chioma Vivian Udogu, MD | |
|
227 Mountain Dr, Dahlonega, GA 30533-1606 | |
| (770) 219-2627 | |
| Not Available |
| Full Name | Dr Chioma Vivian Udogu |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 227 Mountain Dr, Dahlonega, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487825667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30578 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 30578 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 77456 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anmed Health | Anderson, SC | Hospital |
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| Dickinson County Memorial Hospital | Iron mountain, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aiken Professional Association Llc | 0446430805 | 48 |
| Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
| 24 On Physicians Pc | 5698688141 | 239 |
| Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
| Sound Inpatient Physicians-michigan Pllc | 5395896849 | 246 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588613343 PECOS PAC ID: 5698688141 Enrollment ID: O20031111000018 |
| Entity Name | Apogee Medical Group South Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619028545 PECOS PAC ID: 8921193020 Enrollment ID: O20071004000474 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
| Entity Name | Aiken Professional Association Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639479801 PECOS PAC ID: 0446430805 Enrollment ID: O20110202000685 |
| Entity Name | Sound Physicians Of South Carolina, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922428358 PECOS PAC ID: 6800014762 Enrollment ID: O20140905002528 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20151015001850 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chioma Vivian Udogu, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Chioma Vivian Udogu, MD 227 Mountain Dr, Dahlonega, GA 30533-1606 Ph: (770) 219-2627 |