Adebola Ogunmodede, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME99323 Issued in FL

Practice address

516 Winter View Way
Stockbridge, GA 30281-9115

Phone

(727) 744-4613

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1750580064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WINTER VIEW WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819115",
            "telephone_number": "727-744-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WINTER VIEW WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819115",
            "telephone_number": "727-744-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNMODEDE",
        "first_name": "ADEBOLA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chisom Chijioke Odogwu
• Ogbonna Chigozie Ogbu, M.D.
• Tonya Michelle Ogletree, P.A.C.
• Millicent Ogoo, NP
• Ifeoluwa Ogunbadeniyi, M.D
• Olugbenga A Ogunsanya, DPT
• Gail Ohaegbulam, M.D.
• Magnus Ojukwu
• Patrick Ike Ojukwu, M.D.
• Chidi Okorie

• Internal Medicine Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.