Charles L Ogburn Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

019576 Issued in GA

Practice address

330 Hospital Dr
BLDG C, Ste 200
Macon, GA 31217-3899

Phone

(478) 745-1191

Fax

(478) 752-3869

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Medical College of Georgia School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Associates, P.C.Group PAC ID 7911993191, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Macon, GA, CCN 117152
• Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: cogburn433699@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: charles.ogburnjr@imapc.eclinicaldirectplus.com

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

• Internal Medicine Associates, P.C.

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1033180625
  Medicare reassignment Care Compare group Authorized official

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

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Macon, GA
  • NPI 1356399018
  Care Compare affiliation
• Caresouth HHA Holdings of Middle Georgia, LLC

  • Home Health Agency
  • Macon, GA
  • NPI 1972762599
  Care Compare affiliation
• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1356312979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR",
            "address_2": "BLDG C, STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173899",
            "telephone_number": "478-745-1191",
            "fax_number": "478-752-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR",
            "address_2": "BLDG C, STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173899",
            "telephone_number": "478-745-1191",
            "fax_number": "478-752-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBURN",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "019576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00163622A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oconee Health Care Center LLC
• Oconee Healthcare Center LLC
• Carmine V Oddis, M.D.
• Andrew William Odegaard, MD
• Connie Odom, RN
• Jessica Ogburn, NP-C
• Ogles Oxygen, LLC
• Oglethorpedental Center
• Chidinma Eke Ogoh, NP
• Hyung Seok Oh, MD

• Internal Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.