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COWRY MEDICAL GROUP, LLC
NPI 1730688490
Internal Medicine - Nephrology in Acworth, GA

Active since February 08, 2018CLIA Certified · 3 labs
4450 CALIBRE XING NW STE 1126, ACWORTH, GA 30101(470) 227-8130(470) 747-7588 Get Directions Write a Review

NPPES record last updated: October 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 22, 2023, Oct 15, 2021, Oct 9, 2021 and 1 more (4 updates tracked since 2019).

About Cowry Medical Group, Llc NPPES

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

COWRY MEDICAL GROUP, LLC (NPI 1730688490) is a healthcare organization registered as a nephrology in Acworth, Georgia and active in the NPI registry since February 2018. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Chinedu Nweke, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730688490
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCOWRY MEDICAL GROUP, LLC
Location Address4450 CALIBRE XING NW STE 1126Acworth, GA 30101-4104
Mailing Address1720 Mars Hill Rd Nw Ste 120-380Acworth, GA 30101-7127 · (470) 227-8130 · Fax (470) 747-7588
Phone(470) 227-8130
Fax(470) 747-7588
Organization SubpartNo
Authorized OfficialChinedu NwekeCeo · (470) 227-8130
Enumeration DateFebruary 8, 2018
Last NPPES UpdateOctober 22, 20234 updates tracked since enumeration
NPPES CertifiedOctober 22, 2023
✔ NPI 1730688490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 78384
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4450 CALIBRE XING NW STE 1126, Acworth, GA 30101
Open in Google Maps ↗

Secondary Practice Locations 3

Location 18570 Hospital DrDouglasville, GA 30134-2413 · Phone (470) 227-8130 · Fax (470) 747-7588
Location 2103 Mountain Brook Dr Ste 100Holly Springs, GA 30115-9078 · Phone (470) 227-8130 · Fax (470) 747-7588
Location 33545 Cruse Rd Ste 103Lawrenceville, GA 30044-3169 · Phone (470) 227-8130 · Fax (470) 747-7588

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cowry Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Cowry Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nephrology6
Nurse Practitioner5
Internal Medicine1

Clinicians, nearest first (12)

Sydney Galvin
Nurse Practitioner
NPI 1871128256
4450 CALIBRE XING NW
Acworth, GA 30101
(470) 227-8130
✔ PECOS✔ Accepts MedicareSame address
Anand Udupa, MD
Nephrology
NPI 1043303084
4450 CALIBRE XING NW STE 1126
Acworth, GA 30101
(470) 227-8130
✔ PECOS✔ Accepts MedicareSame address
Shoaib Wazir, M.D
Nephrology
NPI 1407297823
4450 CALIBRE XING NW STE 1126
Acworth, GA 30101
(470) 227-8130
✔ PECOSSame address
Peter Longonje, ACNP
Nurse Practitioner
NPI 1255079018
4450 CALIBRE XING NW STE 1126
Acworth, GA 30101
(470) 227-8130
✔ PECOSSame address
Chinedu Nweke, M.D
Nephrology
NPI 1033341656
4450 CALIBRE XING NW STE 1126
Acworth, GA 30101
(470) 227-8130
✔ PECOS✔ Accepts MedicareSame address
Bentlie Tumlin, NP
Nurse Practitioner
NPI 1962176784
3755 SIXES RD STE 203
Canton, GA 30114
(678) 880-6698
✔ PECOS13 mi
Ifeyinwa Anigbogu, MD
Nephrology
NPI 1720243751
8570 HOSPITAL DR
Douglasville, GA 30134
(470) 227-8130
✔ PECOS✔ Accepts Medicare22 mi
Andrea Bossie, MS, RN, CNN, FNP-C
Nurse Practitioner
NPI 1033115142
1480 S HIGHWAY 27 STE B
Carrollton, GA 30117
(770) 812-5900
✔ PECOS41 mi
Pradeep Chaganti, M.D.
Internal Medicine
NPI 1255680575
1506 BROADRICK DR
Dalton, GA 30720
(706) 278-3431
✔ PECOS53 mi
Azeem Mohammed, MBBS
Nephrology
NPI 1124258843
1120 15TH ST
Augusta, GA 30912
(706) 721-8623
✔ PECOS✔ Accepts Medicare162 mi
Ayorinde Soipe, MD, MSC
Nephrology
NPI 1073074167
417 W 3RD AVE
Albany, GA 31701
(229) 312-1000
✔ PECOS174 mi
Julia Holsomback, APRN
Nurse Practitioner
NPI 1083179816
11481 OLD SAINT AUGUSTINE RD
Jacksonville, FL 32258
(904) 633-0210
✔ PECOS✔ Accepts Medicare325 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2281520

Cowry Medical Group · Douglasville, GA
Active · expires May 8, 2027
CLIA Number11D2281520
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorChinedu P. Nweke
Laboratory Phone(470) 227-8130
Laboratory LocationCowry Medical Group8570 Hospital Drive, Douglasville, GA 30134
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2281521

Cowry Medical Group · Acworth, GA
Active · expires May 8, 2027
CLIA Number11D2281521
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorChinedu Nweke
Laboratory Phone(470) 227-8130
Laboratory LocationCowry Medical Group4450 Calibre Xing, NW, Suite 1126, Acworth, GA 30101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2337620

Cowry Medical Group · Lawrenceville, GA
Active · expires Jan 26, 2028
CLIA Number11D2337620
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorChinedu P. Nweke
Laboratory Phone(470) 227-8130
Laboratory LocationCowry Medical Group4799 Sugarloaf Parkway, Buildng K, Lawrenceville, GA 30044
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cowry Medical Group, LLC's NPI number?

The NPI number for Cowry Medical Group, LLC is 1730688490. It was assigned to this organization in the NPPES registry on February 8, 2018.

Where is Cowry Medical Group, LLC located?

Cowry Medical Group, LLC is located at 4450 Calibre Xing NW Ste 1126, Acworth, GA 30101. The listed phone number is (470) 227-8130.

What is Cowry Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Cowry Medical Group, LLC enrolled in Medicare?

Yes. Cowry Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cowry Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Cowry Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (6), Nurse Practitioner (5) and Internal Medicine (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cowry Medical Group, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cowry Medical Group, LLC was last updated on October 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.