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OGEECHEE OB-GYN, LLC
NPI 1033324629
Obstetrics & Gynecology in Statesboro, GA

Active since May 14, 2007CLIA Certified · 4 labs
1310 BRAMPTON AVE, STATESBORO, GA 30458(912) 871-6206(912) 681-8558 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2026, Jun 15, 2021, Jun 2, 2021 (3 updates tracked since 2021).

About Ogeechee Ob-gyn, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OGEECHEE OB-GYN, LLC (NPI 1033324629), doing business as Ogeechee Ob-gyn, Pc, is a healthcare organization registered as an obstetrics & gynecology in Statesboro, Georgia and active in the NPI registry since May 2007. The organization holds 4 active CLIA laboratory certificates and lists Jennifer Hendrix, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1033324629
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOGEECHEE OB-GYN, LLC
Location Address1310 BRAMPTON AVEStatesboro, GA 30458-0851
Mailing Address1310 Brampton AveStatesboro, GA 30458-0851 · (912) 871-6206 · Fax (912) 681-8558
Phone(912) 871-6206
Fax(912) 681-8558
Organization SubpartNo
Authorized OfficialJennifer HendrixCredentialing Coordinator · (912) 515-3546
Enumeration DateMay 14, 2007
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1033324629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1310 BRAMPTON AVE, Statesboro, GA 30458
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Other Names 1

Former Legal Business NameOgeechee Ob-gyn, Pc

Other Identifiers 1

Other300019870AGA · Medicaid Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ogeechee Ob-gyn, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ogeechee Ob-Gyn, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jamie Bohler, CNM
Certified Nurse Midwife (CNM)
NPI 1346965472
1310 BRAMPTON AVE
Statesboro, GA 30458
(912) 871-6206
✔ PECOS✔ Accepts MedicareSame address
Nikiya Lewis
Nurse Practitioner
NPI 1700161072
1310 BRAMPTON AVE
Statesboro, GA 30458
(912) 871-6206
✔ PECOS✔ Accepts MedicareSame address
Chelsea Mikell, MD
Obstetrics/Gynecology
NPI 1750792008
1310 BRAMPTON AVE
Statesboro, GA 30458
(912) 871-6206
✔ PECOS✔ Accepts MedicareSame address
James Small, MD
Obstetrics/Gynecology
NPI 1962690099
1501 BRAMPTON AVE
Statesboro, GA 30458
(912) 871-6206
✔ PECOS✔ Accepts Medicare0.1 mi
Thomas Carico, MD
Pathology
NPI 1205814175
112 S ZETTEROWER AVE
Statesboro, GA 30458
(912) 489-2400
✔ PECOS✔ Accepts Medicare2.6 mi
Sharon Peebles, FNP
Nurse Practitioner
NPI 1356062236
125B VICTORY DR
Swainsboro, GA 30401
(478) 419-1250
✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0261122

Ogeechee Ob-Gyn, LLC · Statesboro, GA
Active · expires Dec 6, 2027
CLIA Number11D0261122
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorChelsea Mikell
Laboratory Phone(912) 871-6206
Laboratory LocationOgeechee Ob-Gyn, LLC1310 Brampton Avenue, Statesboro, GA 30458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2132692

Ogeechee Ob-Gyn, LLC · Swainsboro, GA
Active · expires Jun 26, 2027
CLIA Number11D2132692
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorChelsea J. Mikell
Laboratory Phone(912) 871-6206
Laboratory LocationOgeechee Ob-Gyn, LLC125-B Victory Drive, Swainsboro, GA 30401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 11D2283179

Ogeechee Ob-Gyn PC · Statesboro, GA
Active · expires Apr 1, 2027
CLIA Number11D2283179
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorThomas D. Carico
Laboratory Phone(912) 871-6206
Laboratory LocationOgeechee Ob-Gyn PC1501 Brampton Avenue, Statesboro, GA 30458
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 11D2323507

Ogeechee Obgyn · Swainsboro, GA
Active · expires May 7, 2027
CLIA Number11D2323507
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorJames F. Small
Laboratory Phone(912) 871-6206
Laboratory LocationOgeechee Obgyn125 B Victory Drive, Swainsboro, GA 30401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ogeechee Ob-Gyn, LLC's NPI number?

The NPI number for Ogeechee Ob-Gyn, LLC is 1033324629. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider was formerly known as Ogeechee Ob-Gyn, PC.

Where is Ogeechee Ob-Gyn, LLC located?

Ogeechee Ob-Gyn, LLC is located at 1310 Brampton Ave, Statesboro, GA 30458. The listed phone number is (912) 871-6206.

What is Ogeechee Ob-Gyn, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ogeechee Ob-Gyn, LLC enrolled in Medicare?

Yes. Ogeechee Ob-Gyn, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ogeechee Ob-Gyn, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Ogeechee Ob-Gyn, LLC, in Certified Nurse Midwife (CNM), Nurse Practitioner, Obstetrics/Gynecology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ogeechee Ob-Gyn, LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ogeechee Ob-Gyn, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Ogeechee Ob-Gyn, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ogeechee Ob-Gyn, LLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.