Gail Ohaegbulam, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

100544 Issued in GA

Practice address

1045 Southcrest Dr Ste 100
Stockbridge, GA 30281-6119

Phone

(321) 439-8944

NPI assigned

Apr 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gohaegbulam1864843@direct.ochsner.org

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.

• Pediatrix Medical Group of Georgia, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Sunrise, FL
  • NPI 1295827574

  Maternal & Fetal Medicine

  NPD (past)

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1477086536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JUNIPER ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082194",
            "telephone_number": "321-439-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SOUTHCREST DR STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816119",
            "telephone_number": "321-439-8944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "321-439-8944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Westview Dr SW",
            "address_2": "Morehouse School of Medicine, GME",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101458",
            "country_code": "US",
            "telephone_number": "404-616-1692",
            "fax_number": "404-616-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OHAEGBULAM",
        "first_name": "GAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "28604",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "100544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Michelle Ogletree, P.A.C.
• Millicent Ogoo, NP
• Ifeoluwa Ogunbadeniyi, M.D
• Adebola Ogunmodede, M.D
• Olugbenga A Ogunsanya, DPT
• Magnus Ojukwu
• Patrick Ike Ojukwu, M.D.
• Chidi Okorie
• Beatrice Uju Okoye, DNP
• Idia V. Okpebholo

• Maternal & Fetal Medicine Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Maternal & Fetal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.