Medogun PA
NPI 1730229683 · Psychiatry Physician · Columbia, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medogun PA is a Psychiatry Physician organization in Columbia, SC (NPI 1730229683).
Provider details
- NPI number
- 1730229683
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ayodele Ogunfowora, Medical Director(803) 788-7882
- License
- 21075 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Medogun Psychiatric Associates
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Medogun PA's NPI number?
- Medogun PA's National Provider Identifier (NPI) is 1730229683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medogun PA?
- Medogun PA is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Medogun PA located?
- Medogun PA's practice location on file with NPPES is 120 Wildewood Park Dr, Columbia, SC 29223-4300.
- What is Medogun PA's phone number?
- The practice phone number listed in the NPPES registry for Medogun PA is (803) 788-7882.
- Does Medogun PA accept Medicare?
- Medogun PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medogun PA?
- The authorized official listed on Medogun PA's NPPES record is Ayodele Ogunfowora, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medogun PA's NPI active?
- Yes — Medogun PA's NPI (1730229683) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.