Active NPI
Mojirola Oguntoyinbo, NP
- Nurse Practitioner
- Hardeeville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5401576
- Practice address
- 552 Stiney Rd
Hardeeville, SC 29927-5228 - Phone
- (843) 784-2182
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5401576 | SC | Primary |
Addresses
Primary practice location
552 Stiney Rd
Hardeeville, SC 29927-5228
Mailing address
PO Box 357
Ridgeland, SC 29936-2605
Phone (843) 987-7400
Other practice location 1
719 Okatie Hwy # 170
Okatie, SC 29909-3963
Phone (843) 987-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4216 | Medicaid | SC |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1576 | SC | MD | Dental Hygienist |
| 5401576 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Current | Accepting new patients | |
| Beaufort-Jasper-Hampton Comprehensive Health Service Inc | Past | Accepting new patients |
Locations
721 Okatie Hwy
Okatie, SC 29909
719 Okatie Hwy
Okatie, SC 29909
Phone (843) 987-7408
719 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 322-1873
Interoperability endpoints
- mojirola.oguntoyinbo@bjhchs.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Ridgeland, SC
- NPI 1649276148
-
- Community/Retail Pharmacy
- Okatie, SC
- NPI 1578607248
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1558570952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299362605",
"telephone_number": "843-987-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 STINEY RD",
"city": "HARDEEVILLE",
"state": "SC",
"postal_code": "299275228",
"telephone_number": "843-784-2182"
}
],
"practiceLocations": [
{
"address_1": "719 Okatie Hwy # 170",
"address_purpose": "LOCATION",
"city": "Okatie",
"state": "SC",
"postal_code": "299093963",
"country_code": "US",
"telephone_number": "843-987-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGUNTOYINBO",
"first_name": "MOJIROLA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "5401576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP4216",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hardeeville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.