Individual provider Active NPI

Anthonia Obiageri Ekpenike, M.B.B.S

  • Internal Medicine Physician
  • Riverdale, GA
National Provider Identifier
1659577484
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69110 Issued in GA
Practice address
11 Upper Riverdale Rd SW
Southern Regional Medical Center
Riverdale, GA 30274-2615
Phone
(770) 991-8000
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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 69110 GA Primary

Addresses

Primary practice location

11 Upper Riverdale Rd SW
Southern Regional Medical Center
Riverdale, GA 30274-2615

Mailing address

400 W Peachtree St NW
Unit 1116
Atlanta, GA 30308-3536
Phone (732) 822-9481

Other identifiers 3

IdentifierTypeStateIssuer
200619920AMedicaidOK
200677910CMedicaidKS
1659577484MedicaidMO

Other names 1

  • Dr. Anthonia Obiageri Okojie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, 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
I20100922000975 MO Practitioner - Internal Medicine 8426174814 Reassigns benefits to 4 organizations
I20130403000301 GA Practitioner - Internal Medicine 8426174814 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Southeast Health Center of Stoddard County LLCGroup PAC ID 7315192515, 39 clinicians
Southeast Missouri Hospital Physicians LLCGroup PAC ID 9133024334, 206 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524

1200 N One Mile Rd
Southeast Health Center of Stoddard
Dexter, MO 63841-1000
Phone (573) 614-1900

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

Hospital & facility affiliations

  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Mercy Hospital Stoddard Nursing home, CCN 26U160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69110GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Oct 1, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Mar 1, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 7, 2016 Accepting new patients
Hightower Physician Services, PC CurrentSince Feb 10, 2022 Accepting new patients
Phoebe Orthopedic Specialists CurrentSince Jun 1, 2016 Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Jun 7, 2016 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Feb 28, 2023 Accepting new patients
Southeast Health Center of Stoddard County LLC Internal Medicine CurrentSince Feb 28, 2023 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jun 1, 2016 Accepting new patients
Southeast Health Center of Stoddard County, LLC Past Accepting new patients
Mercy Hospital Joplin Past Accepting new patients
Southeast Hospital Past Accepting new patients

Locations

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1659577484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PEACHTREE ST NW",
            "address_2": "UNIT 1116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083536",
            "telephone_number": "732-822-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "address_2": "SOUTHERN REGIONAL MEDICAL CENTER",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615",
            "telephone_number": "770-991-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKPENIKE",
        "first_name": "ANTHONIA",
        "middle_name": "OBIAGERI",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "69110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200619920A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200677910C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659577484",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONIA",
            "last_name": "OKOJIE",
            "middle_name": "OBIAGERI",
            "prefix": "DR.",
            "credential": "M.B.B.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.