Tonya Michelle Ogletree, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004599 Issued in GA

Practice address

165 N Park TRL
Suite 100
Stockbridge, GA 30281-6500

Phone

(770) 506-1800

Fax

(770) 506-4686

NPI assigned

Sep 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Pain and Spine Associates, LLCGroup PAC ID 7517370299, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
• Direct secure messaging: tonya.ogletree@oconeeregional.gadirect.net
• Direct secure messaging: tonya.ogletree.1@22722.direct.athenahealth.com

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.

• Southern Pain and Spine Associates LLC

  • Interventional Pain Medicine Physician
  • Gainesville, GA
  • NPI 1336744770

  GA

  Medicare reassignment Care Compare group
• Southern Pain and Spine Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1548059835
  Care Compare group NPD
• Athens Clarke Medical Enterprises LLC

  • Emergency Medicine Physician
  • Athens, GA
  • NPI 1295370542

  GA

  Medicare reassignment
• Georgia Emergency Group, LLC

  • Emergency Medicine Physician
  • Griffin, GA
  • NPI 1952746638

  GA

  Medicare reassignment
• Wellstreet of Georgia PC

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547

  GA

  Medicare reassignment
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  NPD (past)
• Southern Pain and Spine Associates LLC

  • Interventional Pain Medicine Physician
  • Jasper, GA
  • NPI 1093469355
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1477540946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N PARK TRL",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816500",
            "telephone_number": "770-506-1800",
            "fax_number": "770-506-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N PARK TRL",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816500",
            "telephone_number": "770-506-1800",
            "fax_number": "770-506-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLETREE",
        "first_name": "TONYA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddie Melissa Oden, LCSW
• Alimot Mayowa Odewale, CRNA
• Ochuko Anderson Odjegba, MD
• Chisom Chijioke Odogwu
• Ogbonna Chigozie Ogbu, M.D.
• Millicent Ogoo, NP
• Ifeoluwa Ogunbadeniyi, M.D
• Adebola Ogunmodede, M.D
• Olugbenga A Ogunsanya, DPT
• Gail Ohaegbulam, M.D.

• All providers in Stockbridge, GA
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.