Individual provider Active NPI

Martine P Adogu, MD

  • Ophthalmology Physician
  • Athens, GA
National Provider Identifier
1073550356
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
045379 Issued in GA
Practice address
1440 N Chase St
Athens, GA 30601-1850
Phone
(706) 227-2110
Fax
(706) 227-2116
NPI assigned
Jun 2, 2006
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 045379 GA Primary

Addresses

Primary practice location

1440 N Chase St
Athens, GA 30601-1850

Mailing address

1440 North Chase Street
Athens, GA 30601
Phone (706) 227-2110

Other identifiers 2

IdentifierTypeStateIssuer
000802304AMedicaidGA
00802304BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000553 GA Practitioner - Ophthalmology 6901851740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconee Medical GroupGroup PAC ID 2365497344, 3 clinicians

Practice addresses (Care Compare)

1440 N Chase St
Athens, GA 30601-1850
Phone (706) 227-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Medical Group Ophthalmology CurrentSince Apr 1, 2005 Accepting new patients

Locations

1440 N Chase St
Athens, GA 30601
Phone (706) 227-2110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EECDAD/Endpoint/EECDAD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1073550356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 NORTH CHASE STREET",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "706-227-2110",
            "fax_number": "706-227-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N CHASE ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011850",
            "telephone_number": "706-227-2110",
            "fax_number": "706-227-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOGU",
        "first_name": "MARTINE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "045379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000802304A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802304B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.