Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ovigwe Modupe Olumide I, DNP

Individual provider Registered Nurse · NPI 1396462016

Dr. Ovigwe Modupe Olumide I, DNP is a Nurse Practitioner in Hinesville, Georgia. Qualified in 2024, 2 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2022
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

514 S Main St
Hinesville, GA 31313-4356
Phone: (912) 675-2829
Fax: (912) 448-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F03250625 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 284548 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 284548 (GA)

Record details

NPI number1396462016
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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