Champ Vascular, LLC
Champ Vascular, LLC is a healthcare organization registered as Interventional Cardiology Physician in Newnan, GA, holding Type 2 (organization) NPI 1669019394 since 2019. The authorized official on file is Oghenerukevwe Odiete, MD Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669019394 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Champ Vascular, LLC |
| Other name | <Unavail> |
| Practice address | 1825 HIGHWAY 34 E STE 3400, Newnan, GA, 30265 |
| Phone | 7705009588 |
| Enumeration date | 2019-12-02 |
| Last updated in NPPES | 2025-05-06 |
Authorized official
| Name | Oghenerukevwe Odiete |
|---|---|
| Title | MD Owner |
| Phone | 7704009588 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RI0011X | Interventional Cardiology Physician | Primary | — | — |
Copy-ready billing details
Provider: Champ Vascular, LLC NPI: 1669019394 Taxonomy: 207RI0011X (Interventional Cardiology Physician) Address: 1825 HIGHWAY 34 E STE 3400, Newnan, GA, 30265
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972535235 | Everett Mason | Individual | Podiatrist | Newnan, GA |
| 1265758502 | Oghenerukevwe Odiete | Individual | Interventional Cardiology Physician | Newnan, GA |
| 1255173407 | Sidney Krupa | Individual | Family Nurse Practitioner | Newnan, GA |
| 1033935937 | Limbs Preservation Institute | Organization | Podiatric Clinic/Center | Newnan, GA |
| 1013888973 | Heartstride Health LLC | Organization | Interventional Cardiology Physician | Newnan, GA |
Verify this record
Cross-check NPI 1669019394 against the authoritative CMS record: view Champ Vascular, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Champ Vascular, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-06.