Active NPI
Olushesan Martins Ogundipe, M.D
- Hospitalist Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 059840
- Practice address
- 1199 Prince Ave
Athens, GA 30606 - Phone
- (706) 475-5076
- Fax
- (260) 373-6348
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
GA, Internal Medicine
-
- Hospitalist Physician
- Warner Robins, GA
- NPI 1962040147
GA, Hospitalist
-
- Rural Health Clinic/Center
- Ashburn, GA
- NPI 1063042562
-
- Skilled Nursing Facility
- Adel, GA
- NPI 1134215452
-
- Rural Health Clinic/Center
- Sylvester, GA
- NPI 1487284956
-
- Rural Health Clinic/Center
- Nashville, GA
- NPI 1588294045
-
- Rural Health Clinic/Center
- Tifton, GA
- NPI 1649800111
-
- Pharmacy
- Tifton, GA
- NPI 1962085282
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tift Regional Health System Inc
Practice addresses (Care Compare)
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Hospital & facility affiliations
- Tift Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.02 of 100
- Quality
- 57.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070822000907 | GA | Practitioner - Internal Medicine | 0143312132 | Reassigns benefits to 5 organizations |
| I20211129000319 | TX | Practitioner - Hospitalist | 0143312132 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069915A | IN | MD | Internal Medicine Physician |
| 059840 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Georgia Hospitalists Group, LLC | Hospitalist | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Internal Medicine | Current | Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Georgia Hospitalists Group, LLC | Hospitalist | Current | Accepting new patients |
| Georgia Hospitalists Group, LLC | Hospitalist | Current | Accepting new patients |
| Spalding Regional Physician Services, LLC | Internal Medicine | Past | Accepting new patients |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients | |
| Atlantic Hospitalist Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Interoperability endpoints
- olushesan.ogundipe@trhs.cernerdirect.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- martins.ogundipe@oconeeregional.gadirect.net
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 059840 | GA | |
| Internal Medicine Physician | 207R00000X | 01069915A | IN | |
| Hospitalist Physician | 208M00000X | 059840 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1199 Prince Ave
Athens, GA 30606
Mailing address
2727 Paces Ferry Rd SE Ste 1-1100
Atlanta, GA 30339-6151
Phone (470) 271-3420
Other practice location 1
901 18th St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200922610 | Medicaid | IN | |
| 000000724341 | Other | IN | ANTHEM |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | olushesan.ogundipe@trhs.cernerdirect.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2021.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1194915470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 PACES FERRY RD SE STE 1-1100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396151",
"telephone_number": "470-271-3420",
"fax_number": "260-373-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-475-5076",
"fax_number": "260-373-6348"
}
],
"practiceLocations": [
{
"address_1": "901 18th St E",
"address_purpose": "LOCATION",
"city": "Tifton",
"state": "GA",
"postal_code": "317943648",
"country_code": "US",
"telephone_number": "229-382-7120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGUNDIPE",
"first_name": "OLUSHESAN MARTINS",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "059840",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01069915A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "059840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200922610",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000724341",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "olushesan.ogundipe@trhs.cernerdirect.com",
"affiliation": "N",
"address_1": "901 18th St E",
"city": "Tifton",
"state": "GA",
"country_code": "US",
"postal_code": "317943648",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.