Individual provider Active NPI

Obayode Ayewa, M.D.

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1346228962
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55657 Issued in GA
Practice address
15 Medical Arts Ctr
Savannah, GA 31405-4414
Phone
(912) 352-9001
Fax
(912) 352-9091
NPI assigned
Jan 4, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 055657 GA
Family Medicine Physician 207Q00000X 55657 GA Primary
Public Health & General Preventive Medicine Physician 2083P0901X 55657 GA

Addresses

Primary practice location

15 Medical Arts Ctr
Savannah, GA 31405-4414

Mailing address

15 Medical Arts Ctr
Savannah, GA 31405-4414
Phone (912) 352-9001

Other identifiers 2

IdentifierTypeStateIssuer
08BBSFFOtherGAGA MEDICARE
52703694-006OtherGABLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050224000379 GA Practitioner - Family PracticePractitioner - Emergency Medicine 1658324132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 Medical Arts Ctr
Savannah, GA 31405-4414
Phone (912) 352-9001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055657GAMDEmergency Medicine Physician
55657GAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Family Practice Center Family Medicine CurrentSince Jul 10, 2005 Accepting new patients
Nes Georgia, Inc. Emergency Medicine Past Accepting new patients
McRae Emergency Services, LLC Emergency Medicine Past Accepting new patients
Tattnall Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Jesup Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

836 E 65th St
Ste 15
Savannah, GA 31405
Phone (912) 352-9001

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 2

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1346228962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL ARTS CTR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054414",
            "telephone_number": "912-352-9001",
            "fax_number": "912-352-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL ARTS CTR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054414",
            "telephone_number": "912-352-9001",
            "fax_number": "912-352-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYEWA",
        "first_name": "OBAYODE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "055657",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "55657",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "55657",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICARE",
            "identifier": "08BBSFF",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "52703694-006",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.