Kodjo Vivien Aziamadji, - Medicare Nurse Practitioner in Covington, GA

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Kodjo Vivien Aziamadji, is a medicare enrolled "Nurse Practitioner" in Covington, Georgia. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Atlanta Plus Urgent Care and his current practice location is 6238 Turner Lake Rd Sw, Covington, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 971-2118.

Kodjo Vivien Aziamadji is licensed to practice in Georgia (license number RN242817) 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 1134703705.

Contact Information

Kodjo Vivien Aziamadji,
6238 Turner Lake Rd Sw,
Covington, GA 30014-3057
(470) 971-2118
Not Available

Map and Direction




Provider's Profile

Full NameKodjo Vivien Aziamadji
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location6238 Turner Lake Rd Sw, Covington, 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:
  • Kodjo Vivien Aziamadji graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1134703705
  • Provider Enumeration Date: 05/10/2021
  • Last Update Date: 12/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032500640
  • Enrollment ID: I20211215001031

Medical Identifiers

Medical identifiers for Kodjo Vivien Aziamadji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134703705NPI-NPPES
1134703705MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency RN242817 (Georgia)Secondary
363L00000XNurse Practitioner RN242817 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atlanta Plus Urgent Care913345336827

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. Kodjo Vivien Aziamadji allows following entities to bill medicare on his behalf.
Entity NamePeachtree Immediate Care Fp, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameGeorgia Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952746638
PECOS PAC ID: 4082853262
Enrollment ID: O20130619000316
Entity NameSwift Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811434210
PECOS PAC ID: 5698011211
Enrollment ID: O20190117003052
Entity NameAtlanta Plus Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588163638
PECOS PAC ID: 9133453368
Enrollment ID: O20190621002246
Entity NameAtlanta Plus Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265144414
PECOS PAC ID: 3072984111
Enrollment ID: O20230127000277

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. Kodjo Vivien Aziamadji 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
Kodjo Vivien Aziamadji,
1477 Rogers Crossing Dr,
Lithonia, GA 30058-7007

Ph: (678) 993-7263		Kodjo Vivien Aziamadji,
6238 Turner Lake Rd Sw,
Covington, GA 30014-3057

Ph: (470) 971-2118

Reviews and Comments


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Shelleyann Beaubrun, PMHNP
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Mrs. Christina Marie Hamilton, FNP-C
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Mrs. Hannah Addis, PNP
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Practice Location: 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014
Phone: 770-728-1901    Fax: 770-728-1907

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.