Individual provider Active NPI

Bola Sogade, M.D.

  • Obstetrics & Gynecology Physician
  • Macon, GA
National Provider Identifier
1558455113
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
047875 Issued in GA
Practice address
639 Hemlock St Ste 101
Macon, GA 31201-6889
Phone
(478) 745-3014
Fax
(478) 745-9887
NPI assigned
Oct 3, 2006
Last updated
Aug 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 047875 GA Primary

Addresses

Primary practice location

639 Hemlock St Ste 101
Macon, GA 31201-6889

Mailing address

639 Hemlock St Ste 101
Macon, GA 31201-6889
Phone (478) 394-6061

Other practice location 1

1963 Shurling Dr
Macon, GA 31211-2236
Phone (478) 394-6061

Other practice location 2

167 Martin Luther King Jr Dr
Forsyth, GA 31029-3239
Phone (478) 394-6061

Other practice location 3

1712 Watson Blvd
Warner Robins, GA 31093-3632
Phone (478) 394-6061

Other identifiers 2

IdentifierTypeStateIssuer
836352013BMedicaidGA
322090OtherGAWELLCARE

Other names 1

  • Dr. Bola Adekore Former name

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
I20040902001156 GA Practitioner - Obstetrics/Gynecology 1153397955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

639 Hemlock St
Macon, GA 31201-6886

639 Hemlock St
Suite 101
Macon, GA 31201-6889
Phone (478) 394-6061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047875GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Obgyne Birth Center for Natural Deliveries Obstetrics & Gynecology CurrentSince Jan 9, 2020 Accepting new patients
Bola Sogade, MD, LLC Current Accepting new patients
Dr. Bolanle Sogade M.D. LLC CurrentSince May 28, 2004 Accepting new patients
Middle Georgia Vascular Surgery Center LLC Past Accepting new patients

Locations

167 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (404) 207-2348

1963 Shurling Dr
Macon, GA 31211
Phone (478) 394-6061

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

639 Hemlock St
Ste 101
Macon, GA 31201
Phone (478) 394-6061

1710 Watson Blvd
Warner Robins, GA 31093
Phone (478) 394-6061

1712 Watson Blvd
Warner Robins, GA 31093
Phone (478) 238-5513

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCBAAA/Endpoint/CCBAAA

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1558455113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 HEMLOCK ST STE 101",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016889",
            "telephone_number": "478-394-6061",
            "fax_number": "478-787-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 HEMLOCK ST STE 101",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016889",
            "telephone_number": "478-745-3014",
            "fax_number": "478-745-9887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1963 Shurling Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312112236",
            "country_code": "US",
            "telephone_number": "478-394-6061",
            "fax_number": "478-745-9887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "GA",
            "postal_code": "310293239",
            "country_code": "US",
            "telephone_number": "478-394-6061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1712 Watson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933632",
            "country_code": "US",
            "telephone_number": "478-394-6061",
            "fax_number": "478-745-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOGADE",
        "first_name": "BOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "047875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836352013B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "322090",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOLA",
            "last_name": "ADEKORE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.