Individual provider Active NPI

Olugbenga A Awe, MD

  • Internal Medicine Physician
  • Hinesville, GA
National Provider Identifier
1841285087
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048329 Issued in GA
Practice address
514 S Main St Ste a
Hinesville, GA 31313
Phone
(912) 448-2000
Fax
(912) 448-2345
NPI assigned
Sep 14, 2005
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48329 GA
Internal Medicine Physician 207R00000X 35073659A OH
Internal Medicine Physician 207R00000X 048329 GA Primary

Addresses

Primary practice location

514 S Main St Ste a
Hinesville, GA 31313

Mailing address

514 S Main St Ste a
Hinesville, GA 31313-4355
Phone (912) 448-2000

Other practice location 1

242 South Coastal Hwy 17
Midway, GA 31320
Phone (912) 884-3444

Other practice location 2

242 South Coastal Hwy 17
Midway, GA 31320
Phone (912) 884-3444

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
I20060505000276 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6204811524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

514 S Main St
Suite a
Hinesville, GA 31313-4355
Phone (912) 448-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48329GAMDInternal Medicine Physician
35073659AOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Health Systems Internal Medicine Current Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Prime Care Medical Services Inc Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Privia Medical Group, LLC Internal Medicine Past Accepting new patients
Nes Ohio Inc Past Accepting new patients
Liberty Emergency Group LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Internal Medicine Specialties Inc Internal Medicine Past Accepting new patients
Diversity Health Center Inc Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

455 S Main St
Ste 103
Hinesville, GA 31313
Phone (912) 408-6868

455 S Main St
Ste 105
Hinesville, GA 31313
Phone (912) 876-0250

514 S Main St
Ste A
Hinesville, GA 31313
Phone (912) 369-9408

242 S Coastal Hwy
#17
Midway, GA 31320
Phone (912) 884-3323

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17727/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHFICA
  • Direct secure messaging: olugbenga.awe.1@8042.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1841285087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S MAIN ST STE A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134355",
            "telephone_number": "912-448-2000",
            "fax_number": "912-448-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S MAIN ST STE A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-448-2000",
            "fax_number": "912-448-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 South Coastal Hwy 17",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "GA",
            "postal_code": "31320",
            "country_code": "US",
            "telephone_number": "912-884-3444",
            "fax_number": "912-884-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 South Coastal Hwy 17",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "GA",
            "postal_code": "31320",
            "country_code": "US",
            "telephone_number": "912-884-3444",
            "fax_number": "912-884-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWE",
        "first_name": "OLUGBENGA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "48329",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073659A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.