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MEDOGUN PSYCHIATRIC ASSOCIATES
NPI 1730229683
Psychiatry & Neurology - Psychiatry in Columbia, SC

Active since February 08, 2007
120 WILDEWOOD PARK DR, SUITE A, COLUMBIA, SC 29223(803) 788-7882 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medogun Psychiatric Associates NPPES

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

MEDOGUN PSYCHIATRIC ASSOCIATES (NPI 1730229683) is a healthcare organization registered as a psychiatry in Columbia, South Carolina and active in the NPI registry since February 2007. The organization lists Ayodele Adetokunbo Ogunfowora, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730229683
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMEDOGUN PA
Location Address120 WILDEWOOD PARK DR, SUITE AColumbia, SC 29223-4300
Mailing Address120 Wildewood Park Dr, Suite AColumbia, SC 29223-4300 · (803) 788-7882
Phone(803) 788-7882
Organization SubpartNo
Authorized OfficialAyodele Adetokunbo OgunfoworaMedical Director · (803) 788-7882
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730229683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 21075
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
120 WILDEWOOD PARK DR, Columbia, SC 29223
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Other Names 1

Doing Business AsMedogun Psychiatric Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medogun Psychiatric Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Medogun Psychiatric Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ayodele Ogunfowora, M.D.
Psychiatry
NPI 1073578506
120 WILDEWOOD PARK DR SUITE A
Columbia, SC 29223
(803) 788-7882
✔ PECOS✔ Accepts MedicareSame address

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

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 Medogun PA's NPI number?

The NPI number for Medogun PA is 1730229683. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Medogun Psychiatric Associates.

Where is Medogun PA located?

Medogun PA is located at 120 Wildewood Park Dr Suite A, Columbia, SC 29223. The listed phone number is (803) 788-7882.

What is Medogun PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Medogun PA enrolled in Medicare?

Yes. Medogun PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medogun PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Medogun PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medogun PA accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Medogun PA 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 Medogun PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.