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

Vince Ifeanyi Chukwukelu, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1386149425

Vince Ifeanyi Chukwukelu, MD is a Sports Medicine in Jonesboro, Georgia. Qualified in 2017, 9 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7813 Spivey Station Blvd Ste 220
Jonesboro, GA 30236-2900
Phone: (404) 251-2328
Fax: (404) 251-2316
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 90086 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 010544 (GA)

Record details

NPI number1386149425
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESAugust 9, 2026
Certification dateAugust 9, 2026

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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