CHISOM CHIJIOKE ODOGWU
NPI 1346801362
Physician Assistant in Stockbridge, GA

Q: What is Chisom Odogwu's NPI number?

The NPI number for Chisom Odogwu is 1346801362. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Q: What is Chisom Odogwu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Chisom Odogwu was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2019PECOS EnrolledAccepts Medicare Assignment

135 N PARK PL STE 101, STOCKBRIDGE, GA 30281(770) 758-7493 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2022, Aug 9, 2019, Jun 21, 2019 (3 updates tracked since 2019).

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About Chisom Chijioke Odogwu NPPES

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

CHISOM CHIJIOKE ODOGWU (NPI 1346801362) is an individual physician assistant in Stockbridge, Georgia, licensed in Georgia (9389) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1346801362

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCHISOM CHIJIOKE ODOGWU

Location Address135 N PARK PL STE 101Stockbridge, GA 30281-7237

Mailing Address135 N Park Pl Ste 101Stockbridge, GA 30281-7237 · (770) 758-7493

Phone(770) 758-7493

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 21, 2019

Last NPPES UpdateFebruary 19, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2024

✔ NPI 1346801362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 9389

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

135 N PARK PL STE 101, Stockbridge, GA 30281

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chisom Chijioke Odogwu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315277621

PECOS Enrollment IDI20190930003346

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

STEVEN PETER RAYAPPA M.D.

Orthopaedic Surgery (Sports Medicine)