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CHIMSOM AGBIM MS
NPI 1184384737
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since December 23, 2021PECOS Enrolled
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 752-1500 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chimsom Agbim Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIMSOM AGBIM MS (NPI 1184384737) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184384737
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHIMSOM AGBIMCredential: MS
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address720 Westview Dr SwAtlanta, GA 30310-1458 · (404) 752-1500
Phone(404) 752-1500
Sole ProprietorNo
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1184384737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

720 WESTVIEW DR SW, Atlanta, GA 30310
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chimsom Agbim Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DELON F.P. BRENNEN M.D.
Pediatrics
720 WESTVIEW DR SW, DEPARTMENT OF PEDIATRICS
ATLANTA, GA 30310
Fulton County (404) 756-1330
MRS. JACQUELYN T. FOSTER PA
Physician Assistant (Surgical)
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 616-1415
DR. NADENE FAIR MD
Internal Medicine
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. DEREJE MEKONNEN ABOYE M.D.
Family Medicine
720 WESTVIEW DR SW, MOREHOUSE SCHOOL OF MEDICINE INC
ATLANTA, GA 30310
Fulton County (404) 752-1875
ROBIN K. WOODBERRY M.D., PHARM.D.
Pediatrics
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1303
ABDURAHMAN MOHAMED EMSALEM M.D
Internal Medicine
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 839-7330
DR. MONTY MONSURUL HUQ M.D,, M.B.B.S
Internal Medicine
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1325
MOREHOUSE SCHOOL OF MEDICINE
General Acute Care Hospital (Critical Access)
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chimsom Agbim's NPI number?

The NPI number for Chimsom Agbim is 1184384737. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Chimsom Agbim located?

Chimsom Agbim practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 752-1500.

What is Chimsom Agbim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chimsom Agbim enrolled in Medicare?

Yes. Chimsom Agbim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chimsom Agbim was last updated on December 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.