OGEECHEE OBGYN, P.C.
NPI 1033324629
Obstetrics & Gynecology in Statesboro, GA

Q: What is Ogeechee Obgyn, P.C.'s NPI number?

The NPI number for Ogeechee Obgyn, P.C. is 1033324629. It was assigned to this organization in the NPPES registry on May 14, 2007.

Q: What is Ogeechee Obgyn, P.C.'s specialty?

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

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: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

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About Ogeechee Obgyn, P.c. NPPES

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

OGEECHEE OBGYN, P.C. (NPI 1033324629) 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 Tonya K Clark, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033324629

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameOGEECHEE OBGYN, P.C.

Location Address1310 BRAMPTON AVEStatesboro, GA 30458-0851

Mailing Address1310 Brampton AveStatesboro, GA 30458-0851 · (912) 871-6206

Phone(912) 871-6206

Fax(912) 681-8558

Organization SubpartNo

Authorized OfficialTonya K ClarkOffice Manager · (912) 871-6206

Enumeration DateMay 14, 2007

Last NPPES UpdateJune 15, 20212 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ 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 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 ›

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 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 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: Name Phone

This certificate is issued to a laboratory to perform only 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: Phone

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: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW DANIEL POWELLSON M.D.

Internal Medicine