P Praxis·MD
● Active Type 1 · Individual

Adewumi Olusegun Oguntunmibi, MD

Specialist·Savannah, GA· NPI 1083706055 · Enumerated 2006 · 19 years on NPI
Oguntunmibi is 1 of 82 specialist providers in Savannah and 1 of 1881 in Georgia.
NPI age
19 years
Enumerated 2006-09-28
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1881 active specialist providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
411 Stephenson Ave
Savannah, GA 314055968
📞 9123547679fax 9123544018
Mailing address
411 Stephenson Ave
Savannah, GA 314055968
📞 9123547679fax 9123544018

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #049393 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 00900798G
05 (GA) 00900798D
05 (GA) 00900798E
05 (GA) 00900798H
01 (GA) N365366 WELLCARE OF GEORGIA
05 (GA) 000900798M
01 (GA) 930105831 RAILROAD MEDICARE
05 (GA) 00900798F
05 (GA) 00900798C
05 (SC) G49393
05 (GA) 000900798I

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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