Kenneth Obi, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

075436 Issued in GA

Practice address

11 John Maddox Dr NW
Rome Gi
Rome, GA 30165-1413

Phone

(706) 295-3992

Fax

(706) 378-5582

NPI assigned

Jul 13, 2009

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Gastroenterology

Education

Morehouse School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rome Gastroenterology AssociatesGroup PAC ID 4981518594, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Redmond Hospital, Rome, GA, CCN 110168
• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054
• Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023
• Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
• Floyd Cherokee Medical Center Hospital, Centre, AL, CCN 010022

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10034072
• Direct secure messaging: kennethobi@rga.allscriptsdirect.net

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.

• Rome Gastroenterology Associates

  dba Rome GI

  • Gastroenterology Physician
  • Rome, GA
  • NPI 1356309314
  Medicare reassignment Care Compare group NPD
• The Rome Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
  • NPI 1356305916
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System Georgia, Inc.

  dba AdventHealth Gordon

  • General Acute Care Hospital
  • Calhoun, GA
  • NPI 1760402424
  Care Compare affiliation
• Cartersville Medical Center LLC

  dba Cartersville Medical Center

  • General Acute Care Hospital
  • Cartersville, GA
  • NPI 1780638833
  Care Compare affiliation
• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Medical Center

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  Care Compare affiliation
• Redmond Park Hospital, LLC

  dba Adventhealth Redmond

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1508810565
  Care Compare affiliation
• Floyd Cherokee Medical Center LLC

  dba Atrium Health Floyd Cherokee Medical Center

  • General Acute Care Hospital
  • Centre, AL
  • NPI 1962999664
  Care Compare affiliation

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1184853053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JOHN MADDOX DR NW",
            "address_2": "ROME GI",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651413",
            "telephone_number": "706-295-3992",
            "fax_number": "706-378-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JOHN MADDOX DR NW",
            "address_2": "ROME GI",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651413",
            "telephone_number": "706-295-3992",
            "fax_number": "706-378-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "075436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Onyeduoseke Obi, M.D
• Uchechukwu Temisan Obi, MD
• Jessica Lashay Oconnor, LCSW
• Milton Ojeda Carcorze, DC
• Damilola Oladinni

• Gastroenterology Physician in Rome, GA
• Providers in Rome, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.

Verify at the official NPI Registry.