Active NPI
Christain C. Ohagwu, M.D.
- Internal Medicine Physician
- College Park, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 039888
- Practice address
- 5820 Old National Highway
Ste 250
College Park, GA 30349-3212 - Phone
- (770) 997-1565
- Fax
- (770) 997-1568
- NPI assigned
- Mar 8, 2007
- Last updated
- Aug 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 039888 | GA | Primary |
| Pediatrics Physician | 208000000X | 039888 | GA |
Addresses
Primary practice location
5820 Old National Highway
Ste 250
College Park, GA 30349-3212
Mailing address
5820 Old National Hwy
College Park, GA 30349-3212
Phone (770) 997-1565
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10033956 | Other | GA | AMERIGROUP |
| 00685033J | Medicaid | GA | |
| 52624568002 | Other | GA | BLUE CROSS BLUE SHIELD |
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
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5536 Old National Hwy
BLDG L250
College Park, GA 30349-3271
5820 Old National Hwy
College Park, GA 30349-3838
Phone (770) 997-1565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039888 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Community Integrated Health Systems, Inc | Current | Accepting new patients | |
| Care at Home Medical Practice PC | Current | Accepting new patients | |
| Premier Primary Care Center, Inc | Internal Medicine | Current | Accepting new patients |
Locations
2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663
3330 Cumberland Blvd SE
Ste 500
Atlanta, GA 30339
Phone (404) 726-0283
5536 Old National Hwy
#L250
College Park, GA 30349
Phone (404) 766-1970
5536 Old National Hwy
Ste 100
College Park, GA 30349
Phone (404) 564-4796
5820 Old National Hwy
College Park, GA 30349
Phone (770) 997-1565
5820 Old National Hwy
Ste 250
College Park, GA 30349
Phone (770) 997-1565
Interoperability endpoints
- christian.ohagwu@cinq-nyipa.medentdirect.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- College Park, GA
- NPI 1740311711
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
- NPI 1578090601
-
- General Practice Physician
- Atlanta, GA
- NPI 1699552836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1083745046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 OLD NATIONAL HWY",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303493212",
"telephone_number": "770-997-1565",
"fax_number": "770-997-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 OLD NATIONAL HIGHWAY",
"address_2": "STE 250",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303493212",
"telephone_number": "770-997-1565",
"fax_number": "770-997-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHAGWU",
"first_name": "CHRISTAIN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "039888",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "039888",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10033956",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00685033J",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "52624568002",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.