NPIMap

Individual provider Active NPI

Ogechi Helen Mbakwe, MD

  • Internal Medicine Physician
  • Statesboro, GA
National Provider Identifier
1992861603
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69221 Issued in GA
Practice address
6 Coach Lee Hill Blvd
Statesboro, GA 30458-4786
Phone
(912) 681-9999
Fax
(912) 681-8989
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50797-20 WI
Internal Medicine Physician 207R00000X MD60212439 WA
Internal Medicine Physician 207R00000X 69221 GA Primary

Addresses

Primary practice location

6 Coach Lee Hill Blvd
Statesboro, GA 30458-4786

Mailing address

6 Coach Lee Hill Blvd
Statesboro, GA 30458-4786
Phone (912) 681-9999

Other names 1

  • Ogechi Chinwe Chukukere Former name

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
I20130814000254 GA Practitioner - Internal Medicine 1355444639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Practice addresses (Care Compare)

501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291

6 Coach Lee Hill Blvd
Statesboro, GA 30458-4786
Phone (912) 681-8999

Hospital & facility affiliations

  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69221GAMDInternal Medicine Physician
50797-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frontline Internal Medicine LLC Internal Medicine CurrentSince May 31, 2013 Accepting new patients
Yakima Hma Physician Management LLC Internal Medicine Past Accepting new patients
Southeastern Eye Clinic PC Past Accepting new patients

Locations

6 Coach Lee Hill Blvd
Statesboro, GA 30458
Phone (912) 681-8999

Interoperability endpoints

  • Direct secure messaging: ogechi.mbakwe.1@9506.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9506/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1992861603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COACH LEE HILL BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584786",
            "telephone_number": "912-681-9999",
            "fax_number": "912-681-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COACH LEE HILL BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584786",
            "telephone_number": "912-681-9999",
            "fax_number": "912-681-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAKWE",
        "first_name": "OGECHI",
        "middle_name": "HELEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "50797-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60212439",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "69221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OGECHI",
            "last_name": "CHUKUKERE",
            "middle_name": "CHINWE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.