Individual provider Active NPI

Evelyn Nwangulor Ogbomoh, MD

  • Family Medicine Physician
  • Cartersville, GA
National Provider Identifier
1265877807
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110249 Issued in GA
Practice address
970 Joe Frank Harris Pkwy SE Ste 200
Cartersville, GA 30120-2161
Phone
(470) 490-2768
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 110249 GA Primary

Addresses

Primary practice location

970 Joe Frank Harris Pkwy SE Ste 200
Cartersville, GA 30120-2161

Mailing address

809 82ND Pkwy Ofc 113
Myrtle Beach, SC 29572-4607
Phone (843) 692-3497

Other practice location 1

809 82nd Parkway
Myrtle Beach, SC 29572
Phone (843) 692-3497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230815000238 SC Order and Referring Only - Family PracticePractitioner - Family Practice 6709248313

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

707 Ctr St
Suite 110
Columbus, GA 31901-1575

PO Box
Atlanta, GA 30368

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: evelyn.ogbomoh@hca5.eclinicaldirectplus.com

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1265877807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY OFC 113",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 JOE FRANK HARRIS PKWY SE STE 200",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202161",
            "telephone_number": "470-490-2768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 82nd Parkway",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "29572",
            "country_code": "US",
            "telephone_number": "843-692-3497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBOMOH",
        "first_name": "EVELYN",
        "middle_name": "NWANGULOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "110249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.