Champ Vascular, LLC
NPI 1669019394 · Interventional Cardiology Physician · Newnan, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Champ Vascular, LLC is a Interventional Cardiology Physician organization in Newnan, GA (NPI 1669019394).
Provider details
- NPI number
- 1669019394
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oghenerukevwe Odiete, MD Owner(770) 400-9588
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Peachstate Advanced Cardiac and Endovascular LLC
Registry dates
- Enumerated
- 2019-12-02
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Champ Vascular, LLC's NPI number?
- Champ Vascular, LLC's National Provider Identifier (NPI) is 1669019394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Champ Vascular, LLC?
- Champ Vascular, LLC is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Champ Vascular, LLC located?
- Champ Vascular, LLC's practice location on file with NPPES is 1825 Highway 34 E Ste 3400, Newnan, GA 30265-6423.
- What is Champ Vascular, LLC's phone number?
- The practice phone number listed in the NPPES registry for Champ Vascular, LLC is (770) 500-9588.
- Does Champ Vascular, LLC accept Medicare?
- Champ Vascular, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Champ Vascular, LLC?
- The authorized official listed on Champ Vascular, LLC's NPPES record is Oghenerukevwe Odiete, MD Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Champ Vascular, LLC's NPI active?
- Yes — Champ Vascular, LLC's NPI (1669019394) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.