Individual provider Active NPI

Olushesan Martins Ogundipe, M.D

  • Hospitalist Physician
  • Athens, GA
National Provider Identifier
1194915470
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
059840 Issued in GA
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.

View all 28

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 294 clinicians

Practice addresses (Care Compare)

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

  • Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
01069915AINMDInternal Medicine Physician
059840GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jul 10, 2023 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Tift Regional Health System Inc CurrentSince Sep 1, 2017 Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Sep 1, 2013 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince May 20, 2022 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Sep 1, 2014 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Sep 1, 2014 Accepting new patients
Houston Hospitalist Group LLC Hospitalist Current Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Sep 1, 2013 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

  • Direct secure messaging: olushesan.ogundipe@trhs.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: martins.ogundipe@oconeeregional.gadirect.net

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 059840 GA
Internal Medicine Physician 207R00000X 01069915A IN
Hospitalist Physician 208M00000X 059840 GA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
200922610MedicaidIN
000000724341OtherINANTHEM

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.