Individual provider Active NPI

Sesi O Dosunmu-Ogunbi, M.D.

  • Pediatric Gastroenterology Physician
  • Macon, GA
National Provider Identifier
1154386076
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
37192 Issued in GA
Practice address
1062 Forsyth St Ste 2E
Macon, GA 31201-8631
Phone
(478) 633-7330
Fax
(478) 633-7360
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C164947 CA
Pediatric Gastroenterology Physician 2080P0206X C164947 CA
Pediatric Gastroenterology Physician 2080P0206X E-10476 AR
Pediatric Gastroenterology Physician 2080P0206X 37192 GA Primary

Addresses

Primary practice location

1062 Forsyth St Ste 2E
Macon, GA 31201-8631

Mailing address

1062 Forsyth St Ste 2E
Macon, GA 31201-8631
Phone (478) 633-7330

Other identifiers 2

IdentifierTypeStateIssuer
009913375MedicaidAL
529913820MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AL, PA, GA, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170725003392 AR Practitioner - GastroenterologyPractitioner - Pediatric Medicine 3072530799 Reassigns benefits to 2 organizations
I20181219000318 AL Practitioner - GastroenterologyPractitioner - Pediatric Medicine 3072530799 Reassigns benefits to 1 organization
I20181228000912 PA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3072530799 Reassigns benefits to 1 organization
I20190122001201 GA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3072530799 Reassigns benefits to 1 organization
I20241211003036 FL Practitioner - Gastroenterology 3072530799 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C164947CAMDPediatric Gastroenterology Physician
37192GAMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Oct 27, 2024 Accepting new patients
University of Pittsburgh Physicians Pediatrics CurrentSince Dec 6, 2018 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Apr 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 14, 2017 Accepting new patients
The Nemours Foundation CurrentSince Oct 27, 2024 Accepting new patients
Arkansas Childrens Hospital Pediatrics CurrentSince Jun 14, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 14, 2017 Accepting new patients
USA Health Physician Billing Services LLC Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences Pediatrics Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 6, 2018 Accepting new patients
Arkansas Children'S Hospital CurrentSince Jun 14, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Health Services of Central Georgia, Inc Pediatrics CurrentSince Dec 1, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
All About Kids Inc Pediatrics Past Accepting new patients
SCL Health Medical Group - Billings LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

83 Columbia St
Orlando, FL 32806
Phone (321) 843-3220

8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700

1062 Forsyth St
Ste 2E
Macon, GA 31201
Phone (478) 633-7330

2490 Riverside Dr
Ste B
Macon, GA 31204
Phone (478) 633-6633

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

4401 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-5030

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Interoperability endpoints

  • Direct secure messaging: sdosunmuogunbi133419@direct.nemours.org
  • Direct secure messaging: sogunbi476572@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: sogunbi@sesiogunbi.gwaydirect.com

Organizations & group practices 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1154386076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 2E",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018631",
            "telephone_number": "478-633-7330",
            "fax_number": "478-633-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 2E",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018631",
            "telephone_number": "478-633-7330",
            "fax_number": "478-633-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSUNMU-OGUNBI",
        "first_name": "SESI",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C164947",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "C164947",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AR",
            "license": "E-10476",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "GA",
            "license": "37192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913375",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529913820",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.