Individual provider Active NPI

Folusho Stephen Tugbiyele, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Lawrenceville, GA
National Provider Identifier
1912936758
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
81991 Issued in GA
Practice address
595 Hurricane Shoals Rd NW Ste 301
Lawrenceville, GA 30046-8761
Phone
(470) 325-1280
Fax
(678) 701-9857
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 81991 GA Primary

Addresses

Primary practice location

595 Hurricane Shoals Rd NW Ste 301
Lawrenceville, GA 30046-8761

Mailing address

595 Hurricane Shoals Rd NW Ste 301
Lawrenceville, GA 30046-8761
Phone (470) 325-1280

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
I20190222001277 GA Practitioner - Obstetrics/Gynecology 6800862863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-4321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Dec 11, 2018 Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients
Advanced Gynecology PC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Dec 11, 2018 Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA PastSince Jan 21, 2024 Accepting new patients

Locations

1100 Northside Forsyth Dr
Ste 410
Cumming, GA 30041
Phone (678) 947-6199

595 Hurricane Shoals Rd NW
Ste 301
Lawrenceville, GA 30046
Phone (470) 325-1280

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1561 Janmar Rd
Snellville, GA 30078
Phone 6783448900102

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

Organizations & group practices 5

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 & 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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1912936758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS RD NW STE 301",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468761",
            "telephone_number": "470-325-1280",
            "fax_number": "678-701-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS RD NW STE 301",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468761",
            "telephone_number": "470-325-1280",
            "fax_number": "678-701-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGBIYELE",
        "first_name": "FOLUSHO",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "GA",
            "license": "81991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.