Active NPI
Kenneth Onyekwere Ofoha, M.D.
- Emergency Medicine Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 68463
- Practice address
- 905 Parkside Walk LN Ste 100a
Lawrenceville, GA 30043-7314 - Phone
- (678) 442-9486
- NPI assigned
- May 18, 2012
- Last updated
- Mar 24, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 68463 | GA | Primary |
Addresses
Primary practice location
905 Parkside Walk LN Ste 100a
Lawrenceville, GA 30043-7314
Mailing address
PO Box 492110
Lawrenceville, GA 30049-0036
Phone (678) 442-9486
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
- Emergency Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68463 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| KL Medical Clinic, LLC. | Current | Accepting new patients | |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emerginet SRMC, LLC | Current | Accepting new patients | |
| Peach Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Lavender Inpatient Services LLC | Past | Accepting new patients |
Locations
1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861
905 Parkside Walk Ln
Ste 100A
Lawrenceville, GA 30043
Phone (678) 442-9486
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1538118344
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Emergency Medicine Physician
- Byron, GA
- NPI 1902165327
-
- Clinic/Center
- Lawrenceville, GA
- NPI 1356692404
-
- Emergency Medicine Physician
- Perry, GA
- NPI 1467873547
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1902215767
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Hospital Warner Robins
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1154681567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 492110",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300490036",
"telephone_number": "678-442-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 PARKSIDE WALK LN STE 100A",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300437314",
"telephone_number": "678-442-9486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFOHA",
"first_name": "KENNETH",
"middle_name": "ONYEKWERE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-18",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "68463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.