Individual provider Active NPI

Ehi Philip Osehobo, MD PHD

  • Internal Medicine Physician
  • Griffin, GA
National Provider Identifier
1639146293
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
049075 Issued in GA
Practice address
230 West College St
Ste B
Griffin, GA 30224-4121
Phone
(678) 688-1155
Fax
(678) 688-5071
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 049075 GA Primary

Addresses

Primary practice location

230 West College St
Ste B
Griffin, GA 30224-4121

Mailing address

230B West College St
Ste B
Griffin, GA 30224-4121
Phone (678) 688-1155

Other identifiers 1

IdentifierTypeStateIssuer
187778601AMedicaidGA

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
I20101108000748 GA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6103846746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

230 W College St
Suite B
Griffin, GA 30224-4249
Phone (678) 688-1155

509 N Expressway
Griffin, GA 30223-2073
Phone (943) 202-7790

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Grace Medical Clinic Internal Medicine CurrentSince Jun 30, 2003 Accepting new patients
Georgia Department of Human Resources Past Accepting new patients
Byron F Harper III MD PC Internal Medicine Past Accepting new patients
Fulton County Mental Health Center Past Accepting new patients
Fulton County Mhddad Past Accepting new patients

Locations

509 N Expressway
Griffin, GA 30223
Phone (943) 202-7790

230 W College St
Ste B
Griffin, GA 30224
Phone (678) 688-1155

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1639146293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230B WEST COLLEGE ST",
            "address_2": "STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244121",
            "telephone_number": "678-688-1155",
            "fax_number": "678-688-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WEST COLLEGE ST",
            "address_2": "STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244121",
            "telephone_number": "678-688-1155",
            "fax_number": "678-688-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEHOBO",
        "first_name": "EHI",
        "middle_name": "PHILIP",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "049075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187778601A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.