ELMIRA CHUKADZE (CNP) – Family Nurse Practitioner, NPI 1801589619

ELMIRA CHUKADZE (CNP) is a healthcare provider. based in Huber heights, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.0033769 (OH). The NPI Number for ELMIRA CHUKADZE (CNP) is 1801589619

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ELMIRA CHUKADZE (CNP)
NPI
1801589619
Phone
(404) 992-2133
Address
6520 MILLHOFF DR
Enumeration Date
29 May 2023
Last Update Date
29 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375294443
Graduation Year
2022 (4 years ago)
PAC ID
9931544756
Group Practice PAC ID
3577848316
Professional Enrollment ID
I20240301002811
Address ID
OH454262042TR5130XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for ELMIRA CHUKADZE (CNP)

  • 6520 MILLHOFF DR

    HUBER HEIGHTS, OH 454243158

    Phone: (404) 992-2133

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240301002811INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45424)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577848316View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal Medicine, Pediatric MedicineOH
Nurse PractitionerOH
-OH
Physician AssistantOH

Reviews

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Frequently asked questions

What NPI should I save for ELMIRA CHUKADZE (CNP)?
Save NPI 1801589619 if you need a stable reference for ELMIRA CHUKADZE (CNP).
Is ELMIRA CHUKADZE (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ELMIRA CHUKADZE (CNP) treat or focus on?
Patients typically see ELMIRA CHUKADZE (CNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ELMIRA CHUKADZE (CNP) practice in Ohio?
You will see Huber Heights, Ohio on file for ELMIRA CHUKADZE (CNP) alongside any extra practice locations.
How can I contact ELMIRA CHUKADZE (CNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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