CHAMP VASCULAR, LLC
NPI 1669019394
Internal Medicine - Interventional Cardiology in Newnan, GA

Q: What is Champ Vascular, LLC's NPI number?

The NPI number for Champ Vascular, LLC is 1669019394. It was assigned to this organization in the NPPES registry on December 2, 2019. The provider is doing business as Peachstate Advanced Cardiac and Endovascular LLC.

Q: What is Champ Vascular, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since December 02, 2019

1825 HIGHWAY 34 E STE 3400, NEWNAN, GA 30265(770) 500-9588 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Feb 27, 2020, Dec 17, 2019 and 1 more (4 updates tracked since 2019).

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About Champ Vascular, Llc NPPES

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

CHAMP VASCULAR, LLC (NPI 1669019394), doing business as Peachstate Advanced Cardiac And Endovascular Llc, is a healthcare organization registered as an interventional cardiology in Newnan, Georgia and active in the NPI registry since December 2019. The organization lists Oghenerukevwe Odiete, Md Owner, as its authorized official.

NPPES Registry Identity

NPI1669019394

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameCHAMP VASCULAR, LLC

Location Address1825 HIGHWAY 34 E STE 3400Newnan, GA 30265-6423

Mailing Address124 Morgan DrLagrange, GA 30240-6361

Phone(770) 500-9588

Organization SubpartNo

Authorized OfficialOghenerukevwe OdieteMd Owner · (770) 400-9588

Enumeration DateDecember 2, 2019

Last NPPES UpdateMay 6, 20254 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1669019394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

1825 HIGHWAY 34 E STE 3400, Newnan, GA 30265

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Other Names 1

Doing Business AsPeachstate Advanced Cardiac And Endovascular Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES 5

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

HEARTSTRIDE HEALTH LLC

Internal Medicine (Interventional Cardiology)