Individual provider Active NPI

Omonigho Sonia Nwoke, MD

  • Nephrology Physician
  • Statesboro, GA
National Provider Identifier
1376118935
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
103985 Issued in GA
Practice address
1030 Bermuda Run
Statesboro, GA 30458-0858
Phone
(912) 764-8396
Fax
(912) 764-7188
NPI assigned
May 25, 2021
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 103985 GA Primary

Addresses

Primary practice location

1030 Bermuda Run
Statesboro, GA 30458-0858

Mailing address

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 735-8781

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
I20260209001186 SC Practitioner - Internal Medicine 0840693503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Health ClarendonGroup PAC ID 0840582656, 60 clinicians
McLeod Medical Center-DillonGroup PAC ID 3476465311, 13 clinicians

Practice addresses (Care Compare)

10 E Hospital St
Manning, SC 29102-3153
Phone (803) 435-8463

301 E Jackson St
Dillon, SC 29536-2509
Phone (843) 774-1571

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103985GAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon CurrentSince Dec 20, 2025 Accepting new patients
McLeod Health Clarendon CurrentSince Dec 20, 2025 Accepting new patients

Locations

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

Organizations & group practices 3

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1376118935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-735-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-764-8396",
            "fax_number": "912-764-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKE",
        "first_name": "OMONIGHO",
        "middle_name": "SONIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "103985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.