GISELE WOGBO
NPI 1063156636
Family Medicine in Kennesaw, GA

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment
750 TOWNPARK LN NW, KENNESAW, GA 30144(404) 365-0966 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2025, Apr 20, 2022 (2 updates tracked since 2022).

About Gisele Wogbo NPPES

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

GISELE WOGBO (NPI 1063156636) is an individual family medicine provider in Kennesaw, Georgia, licensed in Georgia (104254) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1063156636
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGISELE WOGBO
Location Address750 TOWNPARK LN NWKennesaw, GA 30144-5579
Mailing Address750 Townpark Ln NwKennesaw, GA 30144-5579
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 20, 2022
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1063156636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 104254
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

750 TOWNPARK LN NW, Kennesaw, GA 30144

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gisele Wogbo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113425174
PECOS Enrollment IDI20250808002037
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Clinical Medical Laboratory
750 TOWNPARK LN NW
KENNESAW, GA 30144
Pediatrics
750 TOWNPARK LN NW
KENNESAW, GA 30144
Pharmacist
750 TOWNPARK LN NW
KENNESAW, GA 30144
Pharmacist (Pain Management)
750 TOWNPARK LN NW
KENNESAW, GA 30144
Family Medicine
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK MEDICAL CENTER
KENNESAW, GA 30144
Physician Assistant
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER
KENNESAW, GA 30144
Physician Assistant
750 TOWNPARK LN NW, KAISER PERMANENTE TOWN PARK COMPREHENSIVE MEDICAL CENTE
KENNESAW, GA 30144
Obstetrics & Gynecology
750 TOWNPARK LN NW
KENNESAW, GA 30144

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 Gisele Wogbo's NPI number?

The NPI number for Gisele Wogbo is 1063156636. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Gisele Wogbo located?

Gisele Wogbo practices at 750 Townpark Ln NW, Kennesaw, GA 30144. The listed phone number is (404) 365-0966.

What is Gisele Wogbo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gisele Wogbo enrolled in Medicare?

Yes. Gisele Wogbo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gisele Wogbo was last updated on September 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.