Individual provider Active NPI

William Ntiamoah Oduro, MD

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
National Provider Identifier
1720177488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
52215 Issued in GA
Practice address
601-A Professional Drive
Suite 290
Lawrenceville, GA 30045-8720
Phone
(770) 338-8331
Fax
(770) 338-9499
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 52215 GA Primary

Addresses

Primary practice location

601-A Professional Drive
Suite 290
Lawrenceville, GA 30045-8720

Mailing address

601-A Professional Drive
Suite 290
Lawrenceville, GA 30045-8720
Phone (770) 338-8331

Other identifiers 1

IdentifierTypeStateIssuer
621555898AMedicaidGA

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
I20040527000559 GA Practitioner - Obstetrics/Gynecology 5294716007 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Georgia, P.C.Group PAC ID 9032383583, 34 clinicians

Practice addresses (Care Compare)

1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone (864) 908-5830

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52215GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Physician Network Inc CurrentSince Dec 1, 2021 Accepting new patients
Hospital Authority of Liberty County Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Hospital Authority of Liberty County CurrentSince Jun 1, 2024 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Jun 22, 2017 Accepting new patients
Azalea Womens Center, PC CurrentSince Jul 1, 2021 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
Southern OB GYN Associates P C Obstetrics & Gynecology CurrentSince Aug 3, 2021 Accepting new patients
Hospital Authority of Liberty County CurrentSince Jun 1, 2024 Accepting new patients
Adventist Health System Georgia, Inc. Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

455 S Main St
Ste 203
Hinesville, GA 31313
Phone (912) 876-3552

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

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

2307 N Patterson St
Valdosta, GA 31602
Phone (229) 242-8888

Interoperability endpoints

  • Direct secure messaging: william.oduro@ga037.digichart.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720177488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601-A PROFESSIONAL DRIVE",
            "address_2": "SUITE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458720",
            "telephone_number": "770-338-8331",
            "fax_number": "770-338-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601-A PROFESSIONAL DRIVE",
            "address_2": "SUITE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458720",
            "telephone_number": "770-338-8331",
            "fax_number": "770-338-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODURO",
        "first_name": "WILLIAM",
        "middle_name": "NTIAMOAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "52215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621555898A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.