| Dr Ovigwe Modupe Olumide I, DNP | |
|
514 S Main St, Hinesville, GA 31313-4356 | |
| (912) 675-2829 | |
| (912) 448-2345 |
| Full Name | Dr Ovigwe Modupe Olumide I |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 514 S Main St, Hinesville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396462016 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 454 |
| Entity Name | Privia Medical Group of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ovigwe Modupe Olumide I, DNP 123 Crossing Cir, Rincon, GA 31326-6124 Ph: (912) 657-6618 | Dr Ovigwe Modupe Olumide I, DNP 514 S Main St, Hinesville, GA 31313-4356 Ph: (912) 675-2829 |
Mrs. Christine A. Swords, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 S Main St, Suite 201, Hinesville, GA 31313 Phone: 912-877-6822 Fax: 912-408-6781 |
Marbely D Urbina, ARNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 512 S Main St Ste A, Hinesville, GA 31313 Phone: 912-369-5437 |
Tiffiny Duchene, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Fraser Dr, Hinesville, GA 31313 Phone: 912-877-2227 Fax: 912-877-2332 |
Lisa Terrell Crews, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St Ste 104, Hinesville, GA 31313 Phone: 912-876-5644 Fax: 912-877-6341 |
Holly Hollis, EDD, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 508 N Main St Ste A, Hinesville, GA 31313 Phone: 912-785-2100 Fax: 844-740-0009 |
Retha Howard, WH-NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 303 Fraser Dr, Hinesville, GA 31313 Phone: 912-877-2227 Fax: 912-877-2332 |
Nakia S Ealy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Fraser Dr, Hinesville, GA 31313 Phone: 912-877-2227 Fax: 912-877-2332 |