ALEXIS ANN VIOLETTE OGBONNA MD
NPI 1124693502
Radiology - Body Imaging in Charleston, SC

Active since May 26, 2021PECOS EnrolledAccepts Medicare Assignment
96 JONATHAN LUCAS ST STE 210, MSC 323, CHARLESTON, SC 29425(859) 608-4375 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2025, Sep 23, 2021, May 26, 2021 (3 updates tracked since 2021).

  • Individual
  • Female
  • Years of Experience 6
  • Radiology
  • Body Imaging
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALEXIS OGBONNA

This page provides the complete NPI Profile along with additional information for Alexis Ogbonna, a provider established in Charleston, South Carolina with a medical specialization in Radiology, focusing in body imaging and more than 6 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1124693502 assigned on May 2021. The practitioner's primary taxonomy code is 2085B0100X with license number 86121 (SC). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1124693502
Provider Name
ALEXIS ANN VIOLETTE OGBONNA MD
Other Name
ALEXIS ANN VIOLETTE MD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
96 JONATHAN LUCAS ST STE 210 MSC 323 CHARLESTON, SC 29425
Location Phone
(859) 608-4375
Mailing Address
96 JONATHAN LUCAS ST STE 210 MSC 323 CHARLESTON, SC 29425
Mailing Phone
(859) 608-4375
Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
05-26-2021
Last Update Date
12-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Body Imaging

Taxonomy Code
2085B0100X
Type
Allopathic & Osteopathic Physicians
License No.
86121
License State
SC
Taxonomy Description
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

86121 (SC)

Medicare Participation & PECOS Enrollment Status

Alexis Ogbonna is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Alexis Ogbonna is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9234536434

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20260121003598

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alexis Ogbonna is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TIDELANDS GEORGETOWN MEMORIAL HOSPITAL606 BLACK RIVER RD DRAWER 1718
GEORGETOWN, SC 29440
(843) 527-7000Acute Care Hospitals
MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN2435 FOREST DRIVE
COLUMBIA, SC 29204
(803) 256-5300Acute Care Hospitals
KERSHAWHEALTH1315 ROBERTS STREET
CAMDEN, SC 29020
(803) 432-4311Acute Care Hospitals
MUSC HEALTH FLORENCE MEDICAL CENTER805 PAMPLICO HWY BOX 100550
FLORENCE, SC 29505
(843) 674-2500Acute Care Hospitals
TIDELANDS WACCAMAW COMMUNITY HOSPITAL4070 HWY 17
MURRELLS INLET, SC 29576
(843) 652-1000Acute Care Hospitals

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124693502, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 2 + 9 + 6 + 5 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124693502.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Radiology (Vascular & Interventional Radiology)
96 JONATHAN LUCAS ST STE 210
CHARLESTON, SC 29425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124693502, enumerated as an "individual" on May 26, 2021.

The provider is located at 96 JONATHAN LUCAS ST STE 210 MSC 323 CHARLESTON, SC 29425 and the phone number is (859) 608-4375.

Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.

Alexis Ogbonna is affiliated with: TIDELANDS GEORGETOWN MEMORIAL HOSPITAL, MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN, KERSHAWHEALTH, MUSC HEALTH FLORENCE MEDICAL CENTER and TIDELANDS WACCAMAW COMMUNITY HOSPITAL.