Active NPI
OBGYN Consultants of Memphis
- Obstetrics & Gynecology Physician
- Memphis, TN
National Provider Identifier
1952749483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD0000031582
- Legal business name
- OBGYN CONSULTANTS OF MEMPHIS
- Practice address
- 6027 Walnut Grove Rd Ste 216
Memphis, TN 38120-2127 - Phone
- (901) 274-9717
- Fax
- (901) 684-2008
- NPI assigned
- Jun 6, 2013
- Last updated
- Jan 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kingsley Ogonna Oraedu, M.D.
- Title
- President
- Phone
- (901) 274-9717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD0000031582 | TN | Primary |
Addresses
Primary practice location
6027 Walnut Grove Rd Ste 216
Memphis, TN 38120-2127
Mailing address
9891 Legends Dr
Germantown, TN 38139-6978
Phone (901) 274-9717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q008198 | Medicaid | TN | |
| 3842008 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6025 Walnut Grove Rd
Ste 316
Memphis, TN 38120
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Memphis, TN
- NPI 1033203955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737158400000",
"number": "1952749483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9891 LEGENDS DR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381396978",
"telephone_number": "901-274-9717",
"fax_number": "901-684-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6027 WALNUT GROVE RD STE 216",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202127",
"telephone_number": "901-274-9717",
"fax_number": "901-684-2008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBGYN CONSULTANTS OF MEMPHIS",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-06",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A",
"authorized_official_last_name": "ORAEDU",
"authorized_official_first_name": "KINGSLEY",
"authorized_official_middle_name": "OGONNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-274-9717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD0000031582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q008198",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3842008",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.