Individual provider Active NPI

Olalekan Akinyokunbo, M.D

  • Emergency Medicine Physician
  • Metter, GA
National Provider Identifier
1063806040
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
81386 Issued in GA
Practice address
400 Cedar St
Metter, GA 30439-3338
Phone
(305) 585-1280
NPI assigned
Mar 27, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 81386 GA Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113001418 GA Practitioner - General Practice 2365717170 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Doctors to Go LLCGroup PAC ID 4688114416, 17 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81386GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel County Hospital Authority Surgery Current Accepting new patients
Emanuel County Hospital Authority CurrentSince Apr 1, 2022 Accepting new patients
Doctors to Go, LLC Emergency Medicine CurrentSince Jun 9, 2024 Accepting new patients
Emanuel County Hospital Authority CurrentSince Apr 1, 2022 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Emergency Medicine CurrentSince Oct 19, 2022 Accepting new patients
Hospital Authority of Candler County CurrentSince May 1, 2019 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Emergency Medicine CurrentSince Oct 19, 2022 Accepting new patients
Hospital Authority of Candler County Current Accepting new patients
Hospital Authority of Candler County Surgery CurrentSince May 1, 2019 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

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063806040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CEDAR ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393338",
            "telephone_number": "912-685-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CEDAR ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393338",
            "telephone_number": "305-585-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_2": "Holtz- East Tower 2169",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-585-1280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_2": "Holtz- East Tower 2169",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-585-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINYOKUNBO",
        "first_name": "OLALEKAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "81386",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "81386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metter, GA

Sources for this page

Verify at the official NPI Registry.