Active NPI
Joseph Olawole Ogunsulire, M.D
- Hospitalist Physician
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 38697
- Practice address
- 298 Memorial Dr
Seneca, SC 29672-9443 - Phone
- (864) 885-7758
- Fax
- (864) 855-7749
- NPI assigned
- Jul 15, 2012
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 75794 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 38697 | SC | Primary |
| Internal Medicine Physician | 207R00000X | 38697 | SC | |
| Internal Medicine Physician | 207R00000X | 075794 | GA |
Addresses
Primary practice location
298 Memorial Dr
Seneca, SC 29672-9443
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
323 Laurens St SW
Apt C7
Aiken, SC 29801-4853
Phone (678) 557-6333
Other practice location 2
601 S 8th St
Griffin, GA 30224-4213
Phone (770) 467-6314
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | GA | |
| 386978 | Medicaid | SC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oogunsulire376518@directwellstar.org | ||
| Direct Messaging Address | jogunsulire214655@direct-srhs.et0939.epichosted.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721
Hospital & facility affiliations
- Empyrean Hospice of Georgia, LLC-(Columbus)
- Empyrean Hospice of South Carolina
- Savannah Health Services LLC Dba Memorial Health University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75794 | GA | MD | Hospitalist Physician |
| 38697 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Sound Physicians of South Carolina, LLC | Internal Medicine | Current | Accepting new patients |
| Pelham Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pelham Medical Center | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Apogee Medical Group South Carolina | Internal Medicine | Current | Accepting new patients |
| Pelham Medical Center | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Aiken Regional Medical Centers LLC | Past | Accepting new patients | |
| Orthopedic Associates of the Lowcountry, LLC | Internal Medicine | Past | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Interoperability endpoints
- jogunsulire263918@selfregional.direct-ci.net
Organizations & group practices 18
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
GA, Internal Medicine, SC
-
- Hospitalist Physician
- Aiken, SC
- NPI 1922428358
Internal Medicine, SC
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1619028545
Internal Medicine, SC
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
GA, SC
-
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Aiken, SC
- NPI 1164113593
Hospice
-
- Community Based Hospice Care Agency
- Columbus, GA
- NPI 1700577699
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1942555073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 MEMORIAL DR",
"city": "SENECA",
"state": "SC",
"postal_code": "296729443",
"telephone_number": "864-885-7758",
"fax_number": "864-855-7749"
}
],
"practiceLocations": [
{
"address_1": "323 LAURENS ST SW",
"address_2": "APT C7",
"address_purpose": "LOCATION",
"city": "AIKEN",
"state": "SC",
"postal_code": "298014853",
"country_code": "US",
"telephone_number": "678-557-6333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 S 8th St",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302244213",
"country_code": "US",
"telephone_number": "770-467-6314",
"fax_number": "770-467-6324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGUNSULIRE",
"first_name": "JOSEPH",
"middle_name": "OLAWOLE",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-15",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "75794",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "38697",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "38697",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "075794",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "386978",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oogunsulire376518@directwellstar.org",
"affiliation": "N",
"address_1": "601 S 8th St",
"city": "Griffin",
"state": "GA",
"country_code": "US",
"postal_code": "302244213",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jogunsulire214655@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jogunsulire214655@direct-srhs.et0939.epichosted.com",
"address_1": "101 E Wood St",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293033040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.