OGEECHEE OB-GYN, P.C.
NPI 1053380592
Obstetrics & Gynecology in Statesboro, GA

Q: What is Ogeechee Ob-Gyn, P.C.'s NPI number?

The NPI number for Ogeechee Ob-Gyn, P.C. is 1053380592. It was assigned to this organization in the NPPES registry on March 16, 2006.

Q: What is Ogeechee Ob-Gyn, P.C.'s specialty?

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

Active since March 16, 2006CLIA Certified · 2 labs

1497 FAIR RD, SUITE 300, STATESBORO, GA 30458(912) 871-6206(912) 681-8558 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ogeechee Ob-gyn, P.c. NPPES

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

OGEECHEE OB-GYN, P.C. (NPI 1053380592) is a healthcare organization registered as an obstetrics & gynecology in Statesboro, Georgia and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Tonya Kay Clark, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053380592

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameOGEECHEE OB-GYN, P.C.

Location Address1497 FAIR RD, SUITE 300Statesboro, GA 30458-0822

Mailing Address1497 Fair Rd, Suite 300Statesboro, GA 30458-0822 · (912) 871-6206 · Fax (912) 681-8558

Phone(912) 871-6206

Fax(912) 681-8558

Organization SubpartNo

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

Enumeration DateMarch 16, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1053380592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 056210

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.

1497 FAIR RD, Statesboro, GA 30458

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Other Identifiers 2

Other056210GA · License

Other1053380592GA · Npi

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

CLIA Laboratory Certificates CMS CLIA 2

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 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.

Other Providers at the Same Location NPPES 19

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

IAN C MUNGER DO

Emergency Medicine

1497 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1111

CESAR CLINIC, LLC

Specialist

1497 FAIR RD, SUITE 201
STATESBORO, GA 30458

Bulloch County (912) 871-8500

EAST GEORGIA REGIONAL MEDICAL CENTER, LLC

Pediatrics

1497 FAIR RD, SUITE 206
STATESBORO, GA 30458

Bulloch County (912) 871-5437

DR. AJAY JAIN MD

Internal Medicine (Cardiovascular Disease)

1497 FAIR RD, SUITE 305
STATESBORO, GA 30458

Bulloch County (912) 681-2273

MR. CLARE D HEIDLER IV CRNA

Nurse Anesthetist, Certified Registered

1497 FAIR RD, SUITE 102
STATESBORO, GA 30458

Bulloch County (912) 486-1973

OGEECHEE OB-GYN, P.C.

Nurse Practitioner (Obstetrics & Gynecology)

1497 FAIR RD, SUITE 300
STATESBORO, GA 30458

Bulloch County (912) 871-6206

JOHN EDWARD MARTIN SR. MD

Surgery

1497 FAIR RD, SUITE 103
STATESBORO, GA 30458

Bulloch County (912) 486-1163

MPPG, INC.

Pediatrics (Pediatric Hematology-Oncology)

1497 FAIR RD, SUITE 200
STATESBORO, GA 30458

Bulloch County (912) 871-4847

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, P.C.'s NPI number?

The NPI number for Ogeechee Ob-Gyn, P.C. is 1053380592. It was assigned to this organization in the NPPES registry on March 16, 2006.

Where is Ogeechee Ob-Gyn, P.C. located?

Ogeechee Ob-Gyn, P.C. is located at 1497 Fair Rd Suite 300, Statesboro, GA 30458. The listed phone number is (912) 871-6206.

What is Ogeechee Ob-Gyn, P.C.'s specialty?

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

Does Ogeechee Ob-Gyn, P.C. hold CLIA laboratory certificates?

Yes. 2 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.

When was this NPI record last updated?

The NPPES record for Ogeechee Ob-Gyn, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.