Organization Active NPI

Bloom Concierge MD

  • Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1245101021
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BLOOM CONCIERGE MD
Practice address
1285 Marks Church Rd Ste a
Augusta, GA 30909-2472
Phone
(443) 386-4114
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Ozioma Nwaigwe, MDNPI 1427549567
Title
Physician
Phone
(410) 866-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1285 Marks Church Rd Ste a
Augusta, GA 30909-2472

Mailing address

1285 Marks Church Rd Ste a
Augusta, GA 30909-2472
Phone (443) 386-4114

National Provider Directory

National Provider Directory

Locations

1285 Marks Church Rd
Ste A
Augusta, GA 30909
Phone (443) 386-4114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1245101021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 MARKS CHURCH RD STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092472",
            "telephone_number": "443-386-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 MARKS CHURCH RD STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092472",
            "telephone_number": "443-386-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM CONCIERGE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "NWAIGWE",
        "authorized_official_first_name": "OZIOMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-866-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

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