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DR. SETH A BORQUAYE M.D.
NPI 1346338878
Obstetrics & Gynecology - Obstetrics in Hinesville, GA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
455 S MAIN ST, SUITE 202, HINESVILLE, GA 31313(912) 877-2228(912) 877-2463 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2026, Jun 7, 2024, Jul 15, 2019 (3 updates tracked since 2019).

About Dr. Seth A Borquaye M.d. NPPES

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

DR. SETH A BORQUAYE M.D. (NPI 1346338878) is an individual obstetrics provider in Hinesville, Georgia, licensed in Georgia (46937) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Pittsburgh School Of Medicine (1994).

NPPES Registry Identity

NPI1346338878
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. SETH A BORQUAYECredential: M.D.
Location Address455 S MAIN ST, SUITE 202Hinesville, GA 31313-4353
Mailing Address455 S Main St Ste 202Hinesville, GA 31313-4354 · (912) 877-2228 · Fax (912) 877-2463
Phone(912) 877-2228
Fax(912) 877-2463
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1994
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1346338878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in GA · 46937
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedSpecialistTaxonomy 174400000X · License 46937 (GA)
455 S MAIN ST, Hinesville, GA 31313
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1303 Fraser DrHinesville, GA 31313-3712 · Phone (912) 877-2227 · Fax (912) 877-2332
Location 2462 Elma G Miles PkwyHinesville, GA 31313-4000 · Phone (912) 369-9400 · Fax (912) 877-9438

Other Identifiers 1

Medicaid00842025BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Dr. Seth A Borquaye M.d. 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 ID7416967278
PECOS Enrollment IDI20101208000801
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

4

Medicare enrollment records show Seth Borquaye reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Authority Of Liberty County
Same address
Orthopaedic Surgery
455 S MAIN ST STE 205
Hinesville, GA 31313
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
NPI 1023443801 (912) 369-9400
Diversity Health Center Inc
0.6 mi
Federally Qualified Health Center (FQHC)
303 FRASER DR
Hinesville, GA 31313
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group
NPI 1720108590 (912) 877-2227
Comprehensive Obgyn Health Center
1.0 mi
Specialist
455 S MAIN ST, SUITE 202
Hinesville, GA 31313
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1861554354 (912) 877-2228
Obhg Georgia, P.C.
180 mi
Obstetrics & Gynecology
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1750686838 (800) 967-2289

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31313 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 13

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

MRS. CHRISTINE A. SWORDS FNP
Nurse Practitioner (Family)
455 S MAIN ST, SUITE 201
HINESVILLE, GA 31313
Liberty County (912) 877-6822
NIZAR ESKANDAR M.D.
Internal Medicine (Nephrology)
455 S MAIN ST, STE 201
HINESVILLE, GA 31313
Liberty County (912) 877-6822
COASTAL ORTHOPAEDICS AND SPORTS MEDICINE CENTER
Specialist
455 S MAIN ST, SUITE 106
HINESVILLE, GA 31313
Liberty County (912) 877-3226
NICOLE DUTTON-ANDREWS FNP-BC
Nurse Practitioner (Family)
455 S MAIN ST
HINESVILLE, GA 31313
Liberty County (912) 369-9400
DR. STEPHEN WEISS MD
Surgery
455 S MAIN ST, SUITE 102
HINESVILLE, GA 31313
Liberty County (912) 876-5505
CONTEMPORARY MEDICINE, LLC
Family Medicine
455 S MAIN ST, SUITE 103
HINESVILLE, GA 31313
Liberty County (912) 408-5060
KATHLEEN COOLS MD
Obstetrics & Gynecology
455 S MAIN ST, SUITE 202
HINESVILLE, GA 31313
Liberty County (912) 877-2228
COMPREHENSIVE OBGYN HEALTH CENTER
Specialist
455 S MAIN ST, SUITE 202
HINESVILLE, GA 31313
Liberty County (912) 877-2228

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 Seth Borquaye's NPI number?

The NPI number for Seth Borquaye is 1346338878. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Seth Borquaye located?

Seth Borquaye practices at 455 S Main St Suite 202, Hinesville, GA 31313. The listed phone number is (912) 877-2228.

What is Seth Borquaye's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Seth Borquaye enrolled in Medicare?

Yes. Seth Borquaye 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 Seth Borquaye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Borquaye reassigns Medicare benefits to 4 organizations: Hospital Authority Of Liberty County (Hinesville, GA), Diversity Health Center Inc (Hinesville, GA), Comprehensive Obgyn Health Center (Hinesville, GA) and Obhg Georgia, P.C. (Athens, 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 Seth Borquaye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seth Borquaye accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Seth Borquaye 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 Seth Borquaye was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.