Individual provider Active NPI

Samuel Ogechukwuka Nwaobi, MD

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, GA
National Provider Identifier
1669000188
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
100309 Issued in GA
Practice address
1800 10TH Ave
Columbus, GA 31901-1529
Phone
(706) 571-1120
NPI assigned
Mar 30, 2020
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 100309 GA
Addiction Medicine (Family Medicine) Physician 207QA0401X 100309 GA Primary

Addresses

Primary practice location

1800 10TH Ave
Columbus, GA 31901-1529

Mailing address

55 Fruit St
Austen 880
Boston, MA 02114-2696
Phone (617) 726-7621

Other practice location 1

1900 10th Ave Ste 100
Columbus, GA 31901-3601
Phone (706) 571-1430

Other practice location 2

55 Fruit St
Austen 880
Boston, MA 02114-2696
Phone (617) 726-7621

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
I20240715003243 GA Practitioner - Family Practice 2567888787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Medical Center, Inc.Group PAC ID 9830094077, 31 clinicians

Practice addresses (Care Compare)

1800 10TH Ave
Columbus, GA 31901-1529
Phone (706) 571-1120

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Treatment of Georgia, LP CurrentSince Jul 29, 2024 Accepting new patients
The Medical Center Inc CurrentSince Jul 1, 2024 Accepting new patients
The Medical Center Inc CurrentSince Jul 1, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Sep 13, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Sep 13, 2024 Accepting new patients

Locations

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1669000188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "AUSTEN 880",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011529",
            "telephone_number": "706-571-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 10th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319013601",
            "country_code": "US",
            "telephone_number": "706-571-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_2": "Austen 880",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAOBI",
        "first_name": "SAMUEL",
        "middle_name": "OGECHUKWUKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "100309",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "GA",
            "license": "100309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.