Active NPI
Olufemi A Ogunyemi, M.D.
- Interventional Pain Medicine Physician
- Milledgeville, GA
National Provider Identifier
1942300769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 045566
- Practice address
- 111 Fieldstone Dr
Suite 104
Milledgeville, GA 31061-7106 - Phone
- (478) 414-9900
- Fax
- (706) 286-7089
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 045566 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 045566 | GA | Primary |
Addresses
Primary practice location
111 Fieldstone Dr
Suite 104
Milledgeville, GA 31061-7106
Mailing address
PO Box 80883
Athens, GA 30608-0883
Phone (706) 549-8114
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40277 | TX | MD | Clinical Social Worker |
| 045566 | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Spine and Joint Center, LLC | Current | Accepting new patients | |
| South Georgia Spine and Joint Center, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Interventional Pain Medicine | Past | Accepting new patients |
| Au Medical Associates Anesthesia Billing Services, LLC | Pain Medicine | Past | Accepting new patients |
| Nexus Pain Center of Milledgeville, LLC | Interventional Pain Medicine | Past | Accepting new patients |
| Colquitt Regional Anesthesia, LLC | Past | Accepting new patients |
Locations
202 S Madison St
Thomasville, GA 31792
Phone (229) 226-1035
Interoperability endpoints
- olufemiogunyemi@apr.allscriptsdirect.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Thomasville, GA
- NPI 1770815250
-
- Pain Medicine Physician
- Bainbridge, GA
- NPI 1114301611
-
- Anesthesiology Physician
- Augusta, GA
- NPI 1801843933
Pain Medicine
-
- Specialist
- Moultrie, GA
- NPI 1154580512
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Interventional Pain Medicine
-
- Interventional Pain Medicine Physician
- Milledgeville, GA
- NPI 1366788234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1942300769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80883",
"city": "ATHENS",
"state": "GA",
"postal_code": "306080883",
"telephone_number": "706-549-8114",
"fax_number": "706-549-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FIELDSTONE DR",
"address_2": "SUITE 104",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617106",
"telephone_number": "478-414-9900",
"fax_number": "706-286-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNYEMI",
"first_name": "OLUFEMI",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "045566",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "045566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.