NPIMap

Individual provider Active NPI

Charles Lawton Ogburn III, MD

  • Orthopaedic Surgery Physician
  • Athens, GA
National Provider Identifier
1306059613
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
61928 Issued in GA
Practice address
190 Nantahala Ave
Athens, GA 30601-1935
Phone
(706) 627-7281
NPI assigned
May 7, 2007
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 01101026A IN
Orthopaedic Surgery Physician 207X00000X 61928 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MT, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

435 S Crystal St
Suite 400
Butte, MT 59701-1506
Phone (406) 496-3470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61928GAMDOrthopaedic Surgery Physician
01101026AINMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Primary Care Services LLC CurrentSince Nov 15, 2024 Accepting new patients
Pediatric Orthopedic Associates Past Accepting new patients
Mercy Orthopaedic Trauma Services, LLC Orthopaedic Trauma 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

  • Direct secure messaging: cogburn@aoc1036.srs-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.