Individual provider Active NPI

Esohe Osaghae, MSN, RN-BC, CCM

  • Case Management Registered Nurse
  • Fayetteville, GA
National Provider Identifier
1972532612
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN167238 Issued in GA
Practice address
185 Pointer Ridge TRL
Fayetteville, GA 30214-7405
Phone
(877) 875-4370
Fax
(678) 870-5111
NPI assigned
Jul 3, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN167238 GA Primary
Community Health Registered Nurse 163WC1500X RN167238 GA
Psychiatric/Mental Health Registered Nurse 163WP0808X RN167238 GA

Addresses

Primary practice location

185 Pointer Ridge TRL
Fayetteville, GA 30214-7405

Mailing address

185 Pointer Ridge TRL
Fayetteville, GA 30214-7405
Phone (877) 875-4370

Other practice location 1

2826 Sharpsburg McCullum Rd
Newnan, GA 30265-1865
Phone (770) 374-6883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN167238GAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
ER Wisecare Health & Case Management Services LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1972532612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 POINTER RIDGE TRL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147405",
            "telephone_number": "877-875-4370",
            "fax_number": "678-870-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 POINTER RIDGE TRL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147405",
            "telephone_number": "877-875-4370",
            "fax_number": "678-870-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2826 Sharpsburg McCullum Rd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651865",
            "country_code": "US",
            "telephone_number": "770-374-6883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSAGHAE",
        "first_name": "ESOHE",
        "credential": "MSN, RN-BC, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN167238",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN167238",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN167238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.