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.

OrganizationActiveAccepts Medicare

Champ Vascular, LLC

NPI 1669019394 · Interventional Cardiology Physician · Newnan, GA

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

Practice location

1825 Highway 34 E Ste 3400

Newnan, GA 30265-6423

Phone: (770) 500-9588

Street-level locationGet directions

More GA providers

Mailing address

124 Morgan Dr

Lagrange, GA 30240-6361

Specialties & taxonomies

Interventional Cardiology PhysicianPrimary207RI0011X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Peachstate Advanced Cardiac and Endovascular LLC

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(66/100 index)

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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions