Individual provider Active NPI

Amartha Nnegi Gore, M.D.

  • Obstetrics & Gynecology Physician
  • Charleston, SC
National Provider Identifier
1457714685
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
84682 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-6251
Phone
(843) 792-1414
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 66637 AZ
Obstetrics & Gynecology Physician 207V00000X 04-45708 KS
Obstetrics & Gynecology Physician 207V00000X 84682 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-6251

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other practice location 1

834 W Meeting St Ste E1
Lancaster, SC 29720-6251
Phone (803) 804-5531

Other practice location 2

320 E North Ave
320 East North Avenue
Pittsburgh, PA 15212-4756
Phone (412) 578-5587

Other practice location 3

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 789-1892

Other names 1

  • Amartha Nnegi Ogburu-Ogbonnaya Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

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
I20201001002807 SC Practitioner - Obstetrics/Gynecology 0648568295 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Roper Saint Francis Physicians Network Obstetrics & Gynecology CurrentSince May 8, 2024 Accepting new patients
Carolina Family Care, Inc Family Medicine CurrentSince Sep 10, 2020 Accepting new patients
Medical University Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Medical University Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Carolina Family Care, Inc Family Medicine CurrentSince Sep 10, 2020 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Apr 21, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Musc Community Physicians Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Apr 2, 2024 Accepting new patients
Roper Saint Francis Physicians Network Obstetrics & Gynecology CurrentSince May 8, 2024 Accepting new patients
Roper St. Francis Specialty Physicians Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients
University Medical Associates of the Medical University of South Carol Family Medicine CurrentSince Apr 21, 2024 Accepting new patients
Musc Community Physicians CurrentSince Oct 1, 2024 Accepting new patients
Medical University Hospital Authority Current Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

834 W Meeting St
Ste E1
Lancaster, SC 29720
Phone (803) 804-5531

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

834 W Meeting St
Ste E
Lancaster, SC 29720
Phone (803) 283-3775

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2850 Pelham Ct
Orangeburg, SC 29118
Phone (803) 395-3737

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

Interoperability endpoints

  • Direct secure messaging: aogburuogbonnaya74917@direct.musc.edu
  • Direct secure messaging: agore129508@stormontvaildirect.org
  • Direct secure messaging: amartha.gore.1@20807.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1457714685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294256251",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "834 W Meeting St Ste E1",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297206251",
            "country_code": "US",
            "telephone_number": "803-804-5531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E North Ave",
            "address_2": "320 East North Avenue",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-578-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2095 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145733",
            "country_code": "US",
            "telephone_number": "843-789-1892",
            "fax_number": "843-606-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORE",
        "first_name": "AMARTHA",
        "middle_name": "NNEGI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "66637",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-45708",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "84682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "834 W Meeting St Ste E1",
            "city": "Lancaster",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297206251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "171 Ashley Ave",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294256251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMARTHA",
            "last_name": "OGBURU-OGBONNAYA",
            "middle_name": "NNEGI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.