Individual provider Active NPI

Olaocha Beatrice Okwuadigbo, MD

  • Psychiatry Physician
  • Stockbridge, GA
National Provider Identifier
1619443728
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
93536 Issued in GA
Practice address
1035 Southcrest Dr Ste 115
Stockbridge, GA 30281-6104
Phone
(678) 884-1974
Fax
(678) 884-0842
NPI assigned
Oct 16, 2018
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 93536 GA Primary
Psychiatry Physician 2084P0800X ME149581 FL

Addresses

Primary practice location

1035 Southcrest Dr Ste 115
Stockbridge, GA 30281-6104

Mailing address

1035 Southcrest Dr Ste 115
Stockbridge, GA 30281-6104
Phone (678) 884-1974

Other practice location 1

790 NW 107th Ave Ste 107
Miami, FL 33172-3100
Phone (786) 408-7729

Other practice location 2

2400 Lake Erma Dr
Hampton, GA 30228-6083
Phone (703) 403-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20220125000517 FL Practitioner - Psychiatry 1759773708 Reassigns benefits to 3 organizations
I20230621002553 GA Practitioner - Psychiatry 1759773708 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93536GAMDPsychiatry Physician
TRN27866FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Nov 30, 2022 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Jan 28, 2024 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Jan 28, 2024 Accepting new patients
Family Health Community Inc CurrentSince Aug 10, 2022 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Behavior Support Center of Florida Inc CurrentSince Mar 18, 2022 Accepting new patients
Metnurse Health Services, Inc. PastSince Nov 12, 2023 Accepting new patients

Locations

8725 NW 18th Ter
Ste 206
Doral, FL 33172
Phone (786) 451-8700

1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040

15305 NW 60th Ave
Ste 100
Miami Lakes, FL 33014
Phone (786) 536-7561

16440 NW 59th Ave
Miami Lakes, FL 33014
Phone (786) 536-7561

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

3073 Panthersville Rd
Decatur, GA 30034
Phone (404) 243-2100

Interoperability endpoints

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

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1619443728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SOUTHCREST DR STE 115",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816104",
            "telephone_number": "678-884-1974",
            "fax_number": "678-884-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SOUTHCREST DR STE 115",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816104",
            "telephone_number": "678-884-1974",
            "fax_number": "678-884-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 NW 107th Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331723100",
            "country_code": "US",
            "telephone_number": "786-408-7729",
            "fax_number": "786-408-5844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Lake Erma Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "GA",
            "postal_code": "302286083",
            "country_code": "US",
            "telephone_number": "703-403-2505",
            "fax_number": "855-874-4592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKWUADIGBO",
        "first_name": "OLAOCHA",
        "middle_name": "BEATRICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "93536",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME149581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.