Toni O'Reggio Egolum, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

79512 Issued in GA

Practice address

1485 Jesse Jewell Pkwy NE Ste 200
Gainesville, GA 30501-3802

Phone

(770) 534-5255

Fax

(770) 287-3871

NPI assigned

Apr 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Toni Rochelle O'Reggio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Associates LLP

  • Pediatrics Physician
  • Gainesville, GA
  • NPI 1245406719
  NPD (past)

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659697662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PKWY NE STE 200",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013802",
            "telephone_number": "770-534-5255",
            "fax_number": "770-287-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PKWY NE STE 200",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013802",
            "telephone_number": "770-534-5255",
            "fax_number": "770-287-3871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Hartsville Pike",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370662523",
            "country_code": "US",
            "telephone_number": "615-451-9246 x214",
            "fax_number": "615-575-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGOLUM",
        "first_name": "TONI",
        "middle_name": "O'REGGIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "49746",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "79512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "O'REGGIO",
            "middle_name": "ROCHELLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zantea Edouard
• Edward I Galaid, MD, LLC
• Ansu Edwards, MD
• Brian Edwards, PT, DPT
• Natalie Edwards, PT, DPT
• Ugochukwu Onyibo Egolum, MD
• Ehi Pharmacy Solutions, LLC.
• Daniel D Eisenman, PH.D.
• Sohail Ejaz, MD
• Tosan Betina Ejutse, MD

• Pediatrics Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.