Olalekan Akinyokunbo, M.D
Individual provider Active NPI Emergency Medicine Physician · Metter, GA
NPI 1063806040 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1063806040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 81386 (GA)
- Practice address
- 400 Cedar St
Metter, GA 30439-3338 - Phone
- (305) 585-1280
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Emanuel County Hospital Authority
Doctors to Go LLC
Southland Optim Jenkins Emergency Medical Services, LLC
Practice addresses (Care Compare)
117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1341
200 N River St
Claxton, GA 30417-1659
Phone (912) 739-5000
462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9400
Hospital & facility affiliations
- Emanuel Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181113001418 | GA | Practitioner - General Practice | 2365717170 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81386 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors to Go, LLC | Emergency Medicine | Current |
Accepting new patients |
| Emanuel County Hospital Authority | Surgery | Current | Accepting new patients |
| Southland Optim Jenkins Emergency Medical Services, LLC | Emergency Medicine | Current |
Accepting new patients |
| Hospital Authority of Candler County | Surgery | Current |
Accepting new patients |
| Hospital Authority of Candler County | Current |
Accepting new patients | |
| Hospital Authority of Candler County | Current | Accepting new patients | |
| Southland Optim Jenkins Emergency Medical Services, LLC | Emergency Medicine | Current |
Accepting new patients |
| Emanuel County Hospital Authority | Current |
Accepting new patients | |
| Emanuel County Hospital Authority | Current |
Accepting new patients | |
| Hospital Authority of Candler County | Past | Accepting new patients |
Locations
200 N River St
Claxton, GA 30417
Phone (912) 739-2611
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
400 Cedar St
Metter, GA 30439
Phone (912) 685-1726
931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 81386 | GA | Yes |
| Surgery Physician | 208600000X | 81386 | GA |
Addresses
Primary practice location
400 Cedar St
Metter, GA 30439-3338
Mailing address
400 Cedar St
Metter, GA 30439-3338
Phone (912) 685-1726
Other practice location 1
1611 NW 12th Ave
Holtz- East Tower 2169
Miami, FL 33136
Phone (305) 585-1280
Other practice location 2
1611 NW 12th Ave
Holtz- East Tower 2169
Miami, FL 33136
Phone (305) 585-1280
Other providers in Metter, GA
- Ashley Adams
- Nicole Adkison
- Cheryl Rogers Allen
- Jean M Bailey
- Best Friends Therapy Services LLC
- Better Living Services, Inc
- Bio-Medical Applications of Georgia Inc
All providers in Metter, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.