Active NPI
Ehi Philip Osehobo, MD PHD
- Internal Medicine Physician
- Griffin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 049075
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187778601A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Wellstar Cobb Medical Center
- Wellstar Spalding Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Grace Medical Clinic | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Griffin, GA
- NPI 1093887168
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1477750461
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1437299625
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1285700682
-
- Psychiatric Hospital
- Columbus, GA
- NPI 1144224767
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Peachtree City, GA
- NPI 1730119538
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.