Individual provider Active NPI

Christain C. Ohagwu, M.D.

  • Internal Medicine Physician
  • College Park, GA
National Provider Identifier
1083745046
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039888 Issued in GA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10033956OtherGAAMERIGROUP
00685033JMedicaidGA
52624568002OtherGABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000609 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9032132717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric 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

LicenseStateTypeSpecialty
039888GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Community Integrated Health Systems, Inc CurrentSince Jun 24, 2024 Accepting new patients
Care at Home Medical Practice PC CurrentSince Jun 23, 2025 Accepting new patients
Premier Primary Care Center, Inc Internal Medicine CurrentSince Jun 20, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.