Individual provider Active NPI

Ovie E Ughwanogho, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1407860323
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
055311 Issued in GA
Practice address
1413 Cleveland Avenue
Atlanta, GA 30344-3417
Phone
(404) 768-2669
Fax
(404) 768-3479
NPI assigned
Jul 28, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 055311 GA Primary

Addresses

Primary practice location

1413 Cleveland Avenue
Atlanta, GA 30344-3417

Mailing address

1413 Cleveland Avenue
Atlanta, GA 30344-3417
Phone (404) 768-2669

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
I20041008000209 GA Practitioner - Internal MedicinePractitioner - Infectious Disease 3173582731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1413 Cleveland Ave
East Point, GA 30344-6901
Phone (404) 768-2669

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Associates, Inc CurrentSince Sep 1, 2004 Accepting new patients

Locations

1413 Cleveland Ave
East Point, GA 30344
Phone (404) 768-2669

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1407860323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CLEVELAND AVENUE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-768-2669",
            "fax_number": "404-768-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 CLEVELAND AVENUE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-768-2669",
            "fax_number": "404-768-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGHWANOGHO",
        "first_name": "OVIE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.