Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kodjo Vivien Aziamadji

Individual provider Emergency Registered Nurse · NPI 1134703705

Kodjo Vivien Aziamadji is a Nurse Practitioner in Covington, Georgia. Qualified in 2020, 6 years ago. Practices with Atlanta Plus Primary Care LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

6238 Turner Lake Rd SW
Covington, GA 30014-3057
Phone: (470) 971-2118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1670 Clairmont Rd, Decatur, GA 30033-4004 — (678) 993-7263

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN242817 (GA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN242817 (GA)

Record details

NPI number1134703705
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESDecember 16, 2022
Certification dateDecember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Atlanta Plus Primary Care Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Covington