MEDICARE: DR. JAMES R OGBURN JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	J2242	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CL8659	OTHER	TX	MEDICARE CLINICALLAB PTAN
3	8F6130	OTHER	TX	MEDICARE INDIVIDUAL PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8AG580	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1922088731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES R OGBURN JR. MD

Provider Business Mailing Address
First Line	:	134 ROSEDALE DR
Second Line	:
City	:	ATHENS
State	:	TX
Zip	:	75751-3625
Country	:	US
Telephone Number	:	903-675-0080
Fax Number	:	903-675-0081

Provider Business Practice Location Address
First Line	:	134 ROSEDALE DR
Second Line	:
City	:	ATHENS
State	:	TX
Zip	:	75751-3625
Country	:	US
Telephone Number	:	903-675-0080
Fax Number	:	903-675-0081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	03/09/2026

Similar Medicare Providers

1154445419 — EASTERN TEXAS PATHOLOGY LABORATORIES, LLC
Practice Location Address:

134 ROSEDALE DR
ATHENS, TX
75751-3625

Practice Phone: 903-675-0080
Practice Fax: 903-675-0081

1942437116 — EAST TEXAS PATHOLOGY LABORATORIES
Practice Location Address:

134 ROSEDALE DR
ATHENS, TX
75751-3625

Practice Phone: 903-675-0080
Practice Fax:

1295024099 — JACQUELINE ANN TORELL M.D.
Practice Location Address:

134 ROSEDALE
ATHENS, TX
75751-3625

Practice Phone: 903-675-0080
Practice Fax: 903-675-0081

1568730513 — LAB DIRECT, LLC
Practice Location Address:

134 ROSEDALE
ATHENS, TX
75751-3625

Practice Phone: 903-675-0080
Practice Fax: 903-675-0081

1003035734 — MS. SUSAN GAIL ADAMS APRN-BC
Practice Location Address:

1905 BARNETT SHOALS RD
ATHENS, GA
30605-3625

Practice Phone: 706-542-7053
Practice Fax:

1598098519 — DR. STEPHEN DARRELL GILLIAM RN FNP-C
Practice Location Address:

1905 BARNETT SHOALS RD
ATHENS, GA
30605-3625

Practice Phone: 706-542-7053
Practice Fax:

Directions to “ DR. JAMES R OGBURN JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.