Individual provider Active NPI

Obiora Agbimson, MD

  • Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1598256646
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
009930 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(706) 721-7005
Fax
(706) 471-8996
NPI assigned
May 24, 2018
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 009930 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220428000999 GA Practitioner - Psychiatry 8022405653 Reassigns benefits to 3 organizations
I20241014001355 SC Practitioner - Neurology 8022405653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigade Physicians LLCGroup PAC ID 1850823071, 2 clinicians

Practice addresses (Care Compare)

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009930GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health and Developmental Disabilities CurrentSince May 17, 2022 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince May 17, 2022 Accepting new patients
SGMP Southland LLC Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Kindle Comprehensive Care LLC Current Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Brigade Physicians LLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Aiken Regional Medical Centers LLC Past Accepting new patients
Aiken Regional Medical Centers LLC Past Accepting new patients

Locations

1285 Marks Church Rd
Ste D
Augusta, GA 30909
Phone (706) 471-8845

3100 Perimeter Pkwy
Augusta, GA 30909
Phone (706) 650-3207

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

Organizations & group practices 9

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1598256646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-7005",
            "fax_number": "706-471-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-7005",
            "fax_number": "706-471-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBIMSON",
        "first_name": "OBIORA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "009930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.