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: November 01, 2026.

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

About Alexis Ann Violette Ogbonna Md NPPES

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

ALEXIS ANN VIOLETTE OGBONNA MD (NPI 1124693502) is an individual body imaging provider in Charleston, South Carolina, licensed in South Carolina (86121) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2021).

NPPES Registry Identity

NPI1124693502
Entity TypeIndividualFemale
Primary Taxonomy2085B0100X
Provider Legal NameALEXIS ANN VIOLETTE OGBONNACredential: MD
Location Address96 JONATHAN LUCAS ST STE 210, MSC 323Charleston, SC 29425-8900
Mailing Address96 Jonathan Lucas St Ste 210, Msc 323Charleston, SC 29425-8900 · (859) 608-4375
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2021
Enumeration DateMay 26, 2021
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1124693502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License✔ Licensed in SC · 86121
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 86121 (SC)
96 JONATHAN LUCAS ST STE 210, Charleston, SC 29425

Other Names 1

Former Name (1)Alexis Ann Violette Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Ann Violette Ogbonna Md 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 ID9234536434
PECOS Enrollment IDI20260121003598
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alexis Ogbonna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,594 clinicians in this Medicare group
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

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

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 Alexis Ogbonna's NPI number?

The NPI number for Alexis Ogbonna is 1124693502. It was assigned to this individual provider in the NPPES registry on May 26, 2021. The provider is also known as Alexis Ann Violette MD.

Where is Alexis Ogbonna located?

Alexis Ogbonna practices at 96 Jonathan Lucas St Ste 210 Msc 323, Charleston, SC 29425. The listed phone number is (859) 608-4375.

What is Alexis Ogbonna's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

Is Alexis Ogbonna enrolled in Medicare?

Yes. Alexis Ogbonna 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.

Which organizations bill Medicare for Alexis Ogbonna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Ogbonna reassigns Medicare benefits to 2 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC) and Musc Community Physicians (Bamberg, SC). Each 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 Alexis Ogbonna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alexis Ogbonna affiliated with any hospitals?

According to CMS data, Alexis Ogbonna is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, Musc Health Columbia Medical Center Downtown, Musc Health Florence Medical Center and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for Alexis Ogbonna was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.