Issa Papiss Bagayogo, MD PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

078906 Issued in GA

Practice address

297 Prince Avenue Suite 28a
Athens, GA 30601

Phone

(762) 233-0785

NPI assigned

Apr 4, 2014

Last updated

Sep 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535846400000",
    "number": "1972921021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 PRINCE AVENUE SUITE 28A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "848-391-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 PRINCE AVENUE SUITE 28A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "762-233-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 E 17th St",
            "address_2": "9th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033804",
            "country_code": "US",
            "telephone_number": "212-420-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGAYOGO",
        "first_name": "ISSA",
        "middle_name": "PAPISS",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2018-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "078906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B. Allen, Inc (Beltone Hearing Aid Center)
• David Wesley Bacastow, MD
• Bonnie Bachtel, CRNA
• Katherine Amelia Bacon, RN
• Rebecca J Badach, PA
• Jeremy Bagge, PA-C
• Evan James Bagwell
• Stephanie N Bagwell, NP
• Derrick Bahnsen
• Candice A Bailey, CST

• Psychiatry Physician in Athens, GA
• Providers in Athens, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.