Odianosen Idiahi Obadan, M.D

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

86371 Issued in GA

Practice address

210 Medical Pavilion Dr
Raeford, NC 28376-9111

Phone

(910) 904-8000

NPI assigned

Oct 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, SC, NJ, AL, WA, MI, NC, MN, KY9 enrollments

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 9

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland County Hospital System Inc 581 clinicians

Pikeville Medical Center Inc 427 clinicians

Hospital Physician Services - Southeast Professional Corporation 825 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
• Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
• Doctors Hospital Hospital, Augusta, GA, CCN 110177
• Pikeville Medical Center Inpatient rehabilitation facility, Pikeville, KY, CCN 18T044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
• Direct secure messaging: odianosen.obadan.1@16323.direct.athenahealth.com
• Direct secure messaging: oobadan460180@direct.ghs.myhfn.org

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.

• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  GA, NC

  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242

  NC

  Medicare reassignment Care Compare group
• Southeastern Medical Group, PC

  • Hospitalist Physician
  • Brevard, NC
  • NPI 1184669053

  NC

  Medicare reassignment NPD
• Apogee Medical Group Georgia

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143

  GA, Internal Medicine

  Medicare reassignment NPD
• Apogee Medical Group North Carolina

  • Hospitalist Physician
  • Scottsdale, AZ
  • NPI 1043518228

  NC

  Medicare reassignment NPD
• Apogee Medical Group, Michigan, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1053655134

  Internal Medicine, MI

  Medicare reassignment NPD
• Baptist Health Centers, LLC

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236

  AL

  Medicare reassignment NPD
• Crisp Regional Hospital Inc

  • General Acute Care Hospital
  • Cordele, GA
  • NPI 1700851649

  GA, Internal Medicine

  Medicare reassignment NPD
• Hartsville Medical Group LLC

  • Internal Medicine Physician
  • Hartsville, SC
  • NPI 1598995300

  Internal Medicine, SC

  Medicare reassignment NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433

  Internal Medicine, SC

  Medicare reassignment NPD
• NJ Acute Care Specialists Professional Corporation

  • Hospitalist Physician
  • East Orange, NJ
  • NPI 1073805917

  Internal Medicine, NJ

  Medicare reassignment NPD
• Pikeville Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
  • NPI 1528195864

  KY

  Medicare reassignment NPD

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

• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1134162597

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1295738920

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1336131010

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1386649374

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Rural Health Clinic/Center
  • Raeford, NC
  • NPI 1447255328

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
  • NPI 1497757785

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1588668396

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • General Acute Care Hospital
  • Fayetteville, NC
  • NPI 1639172869

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Fayetteville, NC
  • NPI 1639173222

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Stedman, NC
  • NPI 1811999113

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Rehabilitation Hospital Unit
  • Fayetteville, NC
  • NPI 1821091851

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1972507440

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1902200835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096426",
            "telephone_number": "706-651-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEDICAL PAVILION DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283769111",
            "telephone_number": "910-904-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-5680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd Ste 644&635",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Richland Medical Park Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036896",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Smith Church Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke Rapids",
            "state": "NC",
            "postal_code": "278704914",
            "country_code": "US",
            "telephone_number": "252-535-8011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 W 8th Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042327",
            "country_code": "US",
            "telephone_number": "509-474-4500",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBADAN",
        "first_name": "ODIANOSEN",
        "middle_name": "IDIAHI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2024-00310",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD61234746",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "86371",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301117111",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "84734",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-00310",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61234746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847347",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oobadan3694647@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "3535 W 13 Mile Rd Ste 644&635",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• New Horizon Group Home, LLC
• New Start Holistic Center
• Heather K Newhart, OTR/L
• Chuck T Nguyen, M.D.
• North Carolina CVS Pharmacy LLC
• On-Time Shuttle Services
• Open Arms
• Katherine Massiel Ortega, BT
• Outreach Journey Counseling PLLC
• Dwight Oxendine, RPH

• All providers in Raeford, NC
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.

Verify at the official NPI Registry.