Individual provider Active NPI

Andrew Osaze Obamwonyi, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Robins Air Force Base, GA
National Provider Identifier
1184607384
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
046892 Issued in GA
Practice address
78 TH Medical Group
655 7TH Street, BLDG 207
Robins Air Force Base, GA 31098-2227
Phone
(478) 327-7588
NPI assigned
Nov 22, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 046892 GA Primary

Addresses

Primary practice location

78 TH Medical Group
655 7TH Street, BLDG 207
Robins Air Force Base, GA 31098-2227

Mailing address

3431 Sandwedge CT
Snellville, GA 30039-4778
Phone (770) 736-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120227000103 IA Practitioner - Emergency MedicinePractitioner - Preventive Medicine 5799748042 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046892GAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Vista Regional Medical Center Current Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jan 29, 2013 Accepting new patients
Des Moines River Physicians, LLC CurrentSince Jan 13, 2017 Accepting new patients
Spencer Municipal Hospital CurrentSince Dec 22, 2013 Accepting new patients
Spencer Municipal Hospital CurrentSince Dec 22, 2013 Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Des Moines River Physicians, LLC CurrentSince Jan 13, 2017 Accepting new patients
Des Moines River Physicians, LLC Current Accepting new patients
Buena Vista Regional Medical Center Current Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jan 29, 2013 Accepting new patients
Harmony Grove Emergency Physicians LLC Past Accepting new patients
Wapello Emergency Group PC Past Accepting new patients
Harmony Grove Emergency Physicians LLC Past Accepting new patients
Emergency Medicine South LLC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Carter Emergency Physicians Past Accepting new patients
Ohoopee River Emergency Physicians Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
McRae Emergency Services, LLC Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Hickory Hill Emergency Physicians Past Accepting new patients
Burke Emergency Physicians Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Sweet Georgia Emergency Physicians Past Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184607384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 SANDWEDGE CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394778",
            "telephone_number": "770-736-4928",
            "fax_number": "770-736-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 TH MEDICAL GROUP",
            "address_2": "655 7TH STREET, BLDG 207",
            "city": "ROBINS AIR FORCE BASE",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAMWONYI",
        "first_name": "ANDREW",
        "middle_name": "OSAZE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": "046892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robins Air Force Base, GA

Sources for this page

Verify at the official NPI Registry.