Active NPI
Grace Isoken Ogala, N.P
- Family Nurse Practitioner
- North Augusta, SC
National Provider Identifier
1619208717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN252611
- Practice address
- 350 Austin Graybill Rd
North Augusta, SC 29860 - Phone
- (803) 278-4272
- NPI assigned
- Jan 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN252611 | GA | Primary |
Addresses
Primary practice location
350 Austin Graybill Rd
North Augusta, SC 29860
Mailing address
2030 Powers Ferry Rd SE Ste 120
Atlanta, GA 30339-5016
Phone (678) 801-2329
Other practice location 1
3708 Bansbury Pl
Hephzibah, GA 30815-7178
Phone (845) 551-0715
Other names 1
- Grace Isoken Ogala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (706) 432-4387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN252611 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSB Community Mental Health Center of East Central Georgia | Current | Accepting new patients |
Locations
3421 Old Savannah Rd
Augusta, GA 30906
Phone (706) 432-4387
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Augusta, GA
- NPI 1669456620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1619208717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 POWERS FERRY RD SE STE 120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395016",
"telephone_number": "678-801-2329",
"fax_number": "844-249-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 AUSTIN GRAYBILL RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29860",
"telephone_number": "803-278-4272"
}
],
"practiceLocations": [
{
"address_1": "3708 Bansbury Pl",
"address_purpose": "LOCATION",
"city": "Hephzibah",
"state": "GA",
"postal_code": "308157178",
"country_code": "US",
"telephone_number": "845-551-0715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGALA",
"first_name": "GRACE",
"middle_name": "ISOKEN",
"name_prefix": "Ms.",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN252611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "OGALA",
"middle_name": "ISOKEN",
"credential": "N.P",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.