Individual provider Active NPI

Bosede Ibovbohi Ojo, MD, DC

  • Psychiatry Physician
  • Chattahoochee, FL
National Provider Identifier
1770634271
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME151845 Issued in FL
Practice address
PO Box 1000
Chattahoochee, FL 32324-1000
Phone
(832) 289-7522
NPI assigned
Jan 13, 2007
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME151845 FL Primary

Addresses

Primary practice location

PO Box 1000
Chattahoochee, FL 32324-1000

Mailing address

PO Box 1000
Chattahoochee, FL 32324-1000
Phone (850) 793-6317

Other practice location 1

1940 Harrison Ave
Panama City, FL 32405-4542
Phone (850) 763-0017

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240909002592 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 2264972942 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families CurrentSince Feb 28, 2025 Accepting new patients
Florida Department of Children and Families CurrentSince Feb 28, 2025 Accepting new patients
Florida Department of Children and Families CurrentSince Jun 9, 2024 Accepting new patients

Locations

100 N Main St
Chattahoochee, FL 32324
Phone (850) 663-7001

100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1770634271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241000",
            "telephone_number": "850-793-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241000",
            "telephone_number": "832-289-7522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054542",
            "country_code": "US",
            "telephone_number": "850-763-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJO",
        "first_name": "BOSEDE",
        "middle_name": "IBOVBOHI",
        "name_prefix": "Dr.",
        "credential": "MD, DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME151845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattahoochee, FL

Sources for this page

Verify at the official NPI Registry.