Active NPI
Mobolaji O Ogunsakin Sr., M.D.
- Infectious Disease Physician
- Warner Robins, GA
National Provider Identifier
1871607226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 055136
- Practice address
- 1420 Watson Blvd
Warner Robins, GA 31093-3446 - Phone
- (478) 922-5122
- Fax
- (478) 922-5221
- NPI assigned
- Aug 19, 2006
- Last updated
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 055136 | GA | |
| Infectious Disease Physician | 207RI0200X | 055136 | GA | Primary |
Addresses
Primary practice location
1420 Watson Blvd
Warner Robins, GA 31093-3446
Mailing address
1420 Watson Blvd
Warner Robins, GA 31093-3446
Phone (478) 922-5122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721242214A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1420 Watson Blvd
Warner Robins, GA 31093-3446
Phone (478) 922-5122
Hospital & facility affiliations
- Emory Houston Hospital Warner Robins
- Atrium Health Navicent the Medical Center
- Atrium Health Navicent Peach
- Taylor Regional Hospital
- Coliseum Medical Centers, LLC, Dba
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infection Specialists of Middle Georgia, LLC | Internal Medicine | Current | Accepting new patients |
Locations
1420 Watson Blvd
Warner Robins, GA 31093
Phone (478) 922-5122
Organizations & group practices 1
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.
-
- Infectious Disease Physician
- Warner Robins, GA
- NPI 1700011244
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Macon Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
dba Emory Hospital Warner Robins
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- Rural Acute Care Hospital
- Hawkinsville, GA
- NPI 1720189517
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
-
dba Atrium Health Navicent Peach
- Critical Access Hospital
- Byron, GA
- NPI 1114923406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1871607226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 WATSON BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933446",
"telephone_number": "478-922-5122",
"fax_number": "478-922-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 WATSON BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933446",
"telephone_number": "478-922-5122",
"fax_number": "478-922-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNSAKIN",
"first_name": "MOBOLAJI",
"middle_name": "O",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "055136",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "055136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "721242214A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.
- 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.