Ogeechee OB-GYN, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

010585 Issued in GA

Legal business name

OGEECHEE OB-GYN, LLC

Practice address

1310 Brampton Ave
Statesboro, GA 30458-0851

Phone

(912) 871-6206

Fax

(912) 681-8558

NPI assigned

Mar 16, 2006

Last updated

Jan 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonya K Clark

Title

Practice Manager

Phone

(912) 871-6206

Specialties & licenses 1

Addresses

Other identifiers 8

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ogeechee OB-GYN LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ogeechee OB-GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Statesboro, GA
  • NPI 1053380592
  NPD tax ID
• Ogeechee OB-GYN, P.C.

  • Obstetrics & Gynecology Nurse Practitioner
  • Statesboro, GA
  • NPI 1134198104
  NPD tax ID

Locations

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1811966369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580851",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580851",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125B Victory Dr",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013234",
            "country_code": "US",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209C Mims Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "GA",
            "postal_code": "304671994",
            "country_code": "US",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Brampton Ave",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580856",
            "country_code": "US",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OGEECHEE OB-GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-871-6206"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "010585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CNM230942",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN150025NP",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN230942NP",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "72690",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "80249",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN184063NP",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "004021",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN144963NP",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gay Michelle Marasigan Ocenar
• Carolyn Denise Odom, LPN
• Sandra Ofosuhemaa
• Ogeechee Area Hospice Inc.
• Ogeechee OB-GYN, LLC
• Ogeechee OB-GYN, P.C.
• Ogeechee OB-GYN, P.C.
• Ogeechee Wound Healing, Inc
• Steven Christopher Joel Oglesby
• Patrick Okojie

• Obstetrics & Gynecology Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.