NPIMap

Individual provider Active NPI

Takia Marcellus Oglesby, M.D.

  • Interventional Pain Medicine Physician
  • Columbus, GA
National Provider Identifier
1972720928
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
063107 Issued in GA
Practice address
7351 Old Moon Rd
Columbus, GA 31909-7291
Phone
(706) 653-7000
Fax
(706) 653-7800
NPI assigned
Apr 19, 2007
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 063107 GA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 063107 GA

Addresses

Primary practice location

7351 Old Moon Rd
Columbus, GA 31909-7291

Mailing address

7351 Old Moon Rd
Columbus, GA 31909-7291
Phone (706) 653-7000

Other identifiers 2

IdentifierTypeStateIssuer
202I728681OtherGAMEDICARE PTAN
008131896AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000438 GA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 7719048214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nexus Pain Center of Columbus LLCGroup PAC ID 8426050246, 17 clinicians

Practice addresses (Care Compare)

7351 Old Moon Rd
Columbus, GA 31909-7291
Phone (706) 653-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
063107GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Surgery Center LLC Current Accepting new patients
Lafayette Imaging LLC Current Accepting new patients
Ambulatory Anesthesia Services of Missouri LLC Past Accepting new patients
Nexus Pain Center of Houston County Pain Medicine Past Accepting new patients
Spectrum Anesthesia, LLC Past Accepting new patients
Novamed Surgery Center of Columbus, LLC PastSince May 11, 2014 Accepting new patients

Locations

1015 Lafayette Pkwy
Ste 100
Lagrange, GA 30241
Phone (762) 842-0221

Interoperability endpoints

  • Direct secure messaging: takia.oglesby@westgahealth.gadirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1972720928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 OLD MOON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097291",
            "telephone_number": "706-653-7000",
            "fax_number": "706-653-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 OLD MOON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097291",
            "telephone_number": "706-653-7000",
            "fax_number": "706-653-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "TAKIA",
        "middle_name": "MARCELLUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "063107",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "063107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I728681",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008131896A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.