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

Q: 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.

Q: What is Alexis Ogbonna's specialty?

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

Q: 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 7 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.

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: August 09, 2026.

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

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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 Tidelands Georgetown Memorial Hospital, 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

Phone(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

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Other Names 1

Former Name (1)Alexis Ann Violette Md

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

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.

Hospital Affiliations CMS Care Compare 5

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

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

Kershawhealth

Acute Care Hospitals · Camden, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420048

Location1315 Roberts StreetCamden, SC 29020 · Kershaw County

Emergency services Birthing friendly

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

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

MADELINE LEO MD

Radiology (Vascular & Interventional Radiology)

96 JONATHAN LUCAS ST STE 210
CHARLESTON, SC 29425

Charleston County (412) 610-0608

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.

Is Alexis Ogbonna affiliated with any hospitals?

According to CMS data, 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.

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 7 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.