Active NPI
Martine P Adogu, MD
- Ophthalmology Physician
- Athens, GA
National Provider Identifier
1073550356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 045379
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000802304A | Medicaid | GA | |
| 00802304B | Medicaid | GA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Medical Group | Ophthalmology | Current | Accepting new patients |
Locations
1440 N Chase St
Athens, GA 30601
Phone (706) 227-2110
Interoperability endpoints
- 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
- Tejumade Adelore, M.D
- Ruth Adetoun Adene-Peter, M.D.
- Arinola Adesuyi-Dibden, LAPC
- Prakash Adhikari, MD
- Azubueze A Adogu, MD, PHD
- Adult and Child Counseling of Athens LLC (Adult and Child Counseling of Athens)
- Advanced Athens Dentistry, PC (Advanced Dentistry of Athens)
- Advanced Gynecologic Surgery Center
- Advantage Behavioral Health Systems
- Advantage Behavioral Health Systems
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.