Indrani Bongu, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

049418 Issued in GA

Practice address

2806 Hillcreek Dr
Augusta, GA 30909-6484

Phone

(706) 863-0200

Fax

(706) 863-4695

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Unified Women'S Care of Georgia, LLC

  • Obstetrics & Gynecology Physician
  • Morrisville, NC
  • NPI 1578812012
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861580193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 HILLCREEK DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096484",
            "telephone_number": "706-863-0200",
            "fax_number": "706-863-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 HILLCREEK DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096484",
            "telephone_number": "706-863-0200",
            "fax_number": "706-863-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGU",
        "first_name": "INDRANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "049418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888841B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA PROVIDER NUMBER",
            "identifier": "52820654",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "G49418",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn E Bollinger, MD
• Brandi N Bolt
• Melanie Bompart, RN
• Bonaventure Pain Management
• Jason N Bongiovi, D.M.D.
• Yolanda Bonner, ED.S., LPC, NCC
• Nana Bonsu, MD
• Annelise Bonvillain, MD
• Ashley Booher
• Aletrius Booker

• Obstetrics & Gynecology Physician in Augusta, GA
• Providers in Augusta, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.