Individual provider Active NPI

Kingsley Ogbuagu

  • Nursing Care Agency
  • Acworth, GA
National Provider Identifier
1437017746
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RN266065 Issued in GA
Practice address
1961 Clovercroft Rd NW
Acworth, GA 30101-7123
Phone
(678) 471-4065
NPI assigned
Jan 14, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X RN266065 GA Primary

Addresses

Primary practice location

1961 Clovercroft Rd NW
Acworth, GA 30101-7123

Mailing address

1961 Clovercroft Rd NW
Acworth, GA 30101-7123
Phone (678) 471-4065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN266065GAMDNursing Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Personal Care Home, Inc Current Accepting new patients

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": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1437017746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 CLOVERCROFT RD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017123",
            "telephone_number": "678-471-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 CLOVERCROFT RD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017123",
            "telephone_number": "678-471-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUAGU",
        "first_name": "KINGSLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "RN266065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.