Individual provider Active NPI

Charles Owen Oshaughnessy, MD

  • Pediatrics Physician
  • Tybee Island, GA
National Provider Identifier
1174557268
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
033420 Issued in GA
Practice address
1601 Inlet Ave
Tybee Island, GA 31328
Phone
(912) 786-8866
Fax
(912) 786-8632
NPI assigned
Jul 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 033420 GA Primary
General Practice Physician 208D00000X 033420 GA

Addresses

Primary practice location

1601 Inlet Ave
Tybee Island, GA 31328

Mailing address

PO Box 2678
Tybee Island, GA 31328
Phone (912) 786-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033420GAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174557268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2678",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "31328",
            "telephone_number": "912-786-8866",
            "fax_number": "912-786-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 INLET AVE",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "31328",
            "telephone_number": "912-786-8866",
            "fax_number": "912-786-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHAUGHNESSY",
        "first_name": "CHARLES",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "033420",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "033420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tybee Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.