Individual provider Active NPI

Ogonnaya Ifeadike

  • Child & Adolescent Psychiatry Physician
  • Norfolk, VA
National Provider Identifier
1770149767
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101282725 Issued in VA
Practice address
401 Gresham Dr
Norfolk, VA 23507
Phone
(757) 668-7874
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 0101282725 VA Primary
Psychiatry Physician 2084P0800X 92124 GA

Addresses

Primary practice location

401 Gresham Dr
Norfolk, VA 23507

Mailing address

720 Westview Dr SW
Atlanta, GA 30310-1458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20240823002463 VA Practitioner - Psychiatry 6800335670 Reassigns benefits to 1 organization
I20260222000174 GA Practitioner - Psychiatry 6800335670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Morehouse School of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Windrose Trce
Alpharetta, GA 30005-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92124GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapy Doctor LLC Psychiatry CurrentSince Feb 16, 2026 Accepting new patients
Childrens Specialty Group PLLC CurrentSince Aug 1, 2024 Accepting new patients
Britton-Bo LLC PastSince Mar 31, 2024 Accepting new patients

Locations

3822 Rosemont Dr
Unit B
Columbus, GA 31904
Phone (404) 840-6596

680 Oyster Point Rd
Newport News, VA 23606
Phone (757) 668-4673

850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673

Organizations & group practices 3

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1770149767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-668-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFEADIKE",
        "first_name": "OGONNAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101282725",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "92124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.