Individual provider Active NPI

Ene Ojile, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
National Provider Identifier
1851585483
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
68551 Issued in GA
Practice address
3379 Peachtree Rd NE Ste 555
Atlanta, GA 30326-1418
Phone
(404) 965-0874
NPI assigned
Aug 28, 2007
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD428198 PA
Physical Medicine & Rehabilitation Physician 208100000X 245915 NY
Physical Medicine & Rehabilitation Physician 208100000X 68551 GA Primary

Addresses

Primary practice location

3379 Peachtree Rd NE Ste 555
Atlanta, GA 30326-1418

Mailing address

135 Monarch Dr
Peachtree City, GA 30269-4113
Phone (404) 965-0874

Other names 1

  • Dr. Ene Ojile Former name

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
I20130723000481 GA Practitioner - Physical Medicine and Rehabilitation 0345336921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports Spine and Rehab Specialists LLCGroup PAC ID 9739320441, 3 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

Practice addresses (Care Compare)

2101 Newnan Crossing Blvd E
Newnan, GA 30265-2406
Phone (678) 552-6200

2200 Patrick Henry Pkwy
McDonough, GA 30253-4207
Phone (470) 713-2000

7300 Lester Rd
Union City, GA 30291-2328
Phone (770) 964-3301

875 Flat Shoals Rd SE
Conyers, GA 30094-6640
Phone (770) 785-7669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68551GAMDPhysical Medicine & Rehabilitation Physician
245915NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Spine & Rehab Specialists LLC Physical Medicine & Rehabilitation CurrentSince Apr 30, 2013 Accepting new patients
Keystone Diagnostics and MRI, LLC PastSince Mar 2, 2010 Accepting new patients
Edward Burnetta MD LLC PastSince Aug 3, 2010 Accepting new patients
7622 Medical Center, Inc. Past Accepting new patients

Locations

3379 Peachtree Rd NE
Ste 555
Atlanta, GA 30326
Phone (404) 682-0767

1883 McDonough Rd
Bldg 200-A
Lovejoy, GA 30228

2200 Patrick Henry Pkwy
McDonough, GA 30253
Phone (470) 713-2000

151 Wisdom Rd
Peachtree City, GA 30269
Phone (770) 487-7807

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

Organizations & group practices 4

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 4

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1851585483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MONARCH DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694113",
            "telephone_number": "404-965-0874",
            "fax_number": "404-965-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE STE 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261418",
            "telephone_number": "404-965-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJILE",
        "first_name": "ENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD428198",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "245915",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "68551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENE",
            "last_name": "OJILE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.