Winston William Leland Bogan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT009489 Issued in GA

Practice address

423 Covington Ave
Thomasville, GA 31792-5264

Phone

(229) 226-6074

NPI assigned

Apr 19, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Dawsonville, GA
  • NPI 1528419751

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1942096433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 VINELAND LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323177925",
            "telephone_number": "850-766-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 COVINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925264",
            "telephone_number": "229-226-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "WINSTON",
        "middle_name": "WILLIAM LELAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Israel Dennard Blake
• Salvatore M. Blandino, C.P.
• Julia Blanton, CHES, DIPACLM, CHWC
• Tracey Coston Blocker, OTR/L
• Blooming Minds Psychiatry, LLC
• Lee Boney, DMD
• Daniel Brock Bonner, NP-C
• Sarthak Bothra, MD
• Sarah Hardy Bouck, MD
• Jacob Reed Bowen, OD

• Occupational Therapist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.