Charles Lawton Ogburn III, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Athens, GA
NPI 1306059613 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1306059613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 61928 (GA)
- Practice address
- 190 Nantahala Ave
Athens, GA 30601-1935 - Phone
- (706) 627-7281
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Medical College of Georgia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SCL Health Medical Group-Butte LLC
Practice addresses (Care Compare)
435 S Crystal St
Suite 400
Butte, MT 59701-1506
Phone (406) 496-3470
Hospital & facility affiliations
- St James Hospital
- Doctors Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA, MT, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818001013 | GA | Practitioner - Orthopedic Surgery | 3870648819 | |
| I20260513003360 | MT | Practitioner - Orthopedic Surgery | 3870648819 | Reassigns benefits to 1 organization |
| I20260623001603 | PA | Practitioner - Orthopedic Surgery | 3870648819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61928 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Primary Care Services LLC | Current |
Accepting new patients | |
| Mercy Orthopaedic Trauma Services, LLC | Orthopaedic Trauma | Past | Accepting new patients |
| Pediatric Orthopedic Associates | Past | Accepting new patients |
Locations
3623 J Dewey Gray Cir
Ste 210
Augusta, GA 30909
Phone (706) 651-5780
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- cogburn@aoc1036.srs-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 01101026A | IN | |
| Orthopaedic Surgery Physician | 207X00000X | 61928 | GA | Yes |
Addresses
Primary practice location
190 Nantahala Ave
Athens, GA 30601-1935
Mailing address
190 Nantahala Ave
Athens, GA 30601-1935
Phone (706) 627-7281
Other practice location 1
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4550
NPI Registry JSON
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1306059613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 NANTAHALA AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011935",
"telephone_number": "706-627-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 NANTAHALA AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011935",
"telephone_number": "706-627-7281"
}
],
"practiceLocations": [
{
"address_1": "4011 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476308947",
"country_code": "US",
"telephone_number": "812-490-4550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGBURN",
"first_name": "CHARLES",
"middle_name": "LAWTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "IN",
"license": "01101026A",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "61928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
- Oconee Speech-Language Solutions
- Oconee Weight and Wellness, LLC
- Oconee Wound Care Specialists LLC
- Oladipo Odeyinka
- Odyssey Healthcare Operating B, LP
- Olushesan Martins Ogundipe
- Grace Damilola Ogunkoya
- Albert Idlaff Ofori Ohene
- Oluwatimileyin Esther Ojo
- Cynthia Chizoba Okoye
All providers in Athens, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.