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RALPH OGWOTU
NPI 1144674581
Nurse Practitioner - Psychiatric/Mental Health in Riverdale, GA

Active since April 22, 2016PECOS Enrolled
6572 RIVER PARK DR STE 101, RIVERDALE, GA 30274(404) 514-3498 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2024, Feb 8, 2024, Oct 27, 2020 (3 updates tracked since 2020).

About Ralph Ogwotu NPPES

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

RALPH OGWOTU (NPI 1144674581) is an individual psychiatric/mental health provider in Riverdale, Georgia, licensed in Georgia (233148) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144674581
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRALPH OGWOTU
Location Address6572 RIVER PARK DR STE 101Riverdale, GA 30274-2214
Mailing Address110 W Pier WayFayetteville, GA 30214-4617 · (404) 514-3498
Phone(404) 514-3498
Sole ProprietorNo
Enumeration DateApril 22, 2016
Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1144674581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 233148
Also ListedRegistered NurseTaxonomy 163W00000X · License RN233148 (GA)
6572 RIVER PARK DR STE 101, Riverdale, GA 30274
Open in Google Maps ↗

Other Identifiers 1

Medicaid1144674581GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralph Ogwotu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Ralph Ogwotu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Odyssey Family Counseling Center Corporation
6.1 mi
Mental Health
1919 JOHN WESLEY AVENUE
College Park, GA 30337
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1689604605 (404) 762-9190
River Edge Behavioral Health Center
67 mi
Community/Behavioral Health
175 EMERY HWY
Macon, GA 31217
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1174512966 (478) 751-4519
Guiding Light Healthcare Services
80 mi
Psychiatry
124 HOSPITAL DR
Warner Robins, GA 31088
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1841707668 (478) 449-8800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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 8

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

SAMSON SAINT-REMY OTR/L
Occupational Therapist
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274
Clayton County (678) 626-1833
KHYANDRIA DENAE CELESTINE OT
Occupational Therapist
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274
Clayton County (678) 626-1833
BERTA E BOOTH PA
Physician Assistant
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274
Clayton County (770) 996-6699
AUDREY LARCOMB SLP
Speech-Language Pathologist
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274
Clayton County (678) 262-1833
TERRI LYNN LEDOUX AGACNP-BC
Nurse Practitioner
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274
Clayton County (770) 669-9966
NIKITRESS MCGILL
Physical Therapy Assistant
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274
Clayton County (678) 626-1833
IDEAL THERAPY REHABILITATIVE SERVICES II, LLC
Clinic/Center (Multi-Specialty)
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274
Clayton County (678) 626-1833
MORGAN SCOTT DPT
Physical Therapist
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274
Clayton County (678) 789-6400

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 Ralph Ogwotu's NPI number?

The NPI number for Ralph Ogwotu is 1144674581. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is Ralph Ogwotu located?

Ralph Ogwotu practices at 6572 River Park Dr Ste 101, Riverdale, GA 30274. The listed phone number is (404) 514-3498.

What is Ralph Ogwotu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ralph Ogwotu enrolled in Medicare?

Yes. Ralph Ogwotu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ralph Ogwotu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralph Ogwotu reassigns Medicare benefits to 3 organizations: Odyssey Family Counseling Center Corporation (College Park, GA), River Edge Behavioral Health Center (Macon, GA) and Guiding Light Healthcare Services (Warner Robins, GA). 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 Ralph Ogwotu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ralph Ogwotu accept?

Health plans from CareSource and Cigna Healthcare list Ralph Ogwotu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ralph Ogwotu was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.