Active NPI
Olubunmi Titilope Pitan, MD
- Hospitalist Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 074717
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9000
- Fax
- (770) 538-7872
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 074717 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 074717 | GA | |
| Hospitalist Physician | 208M00000X | 074717 | GA | Primary |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000
Other practice location 2
715 Queen City Pkwy Ste 106
Gainesville, GA 30501-4335
Phone (678) 450-1222
Other names 1
- Olubunmi Titilope Anibaba
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oanibaba39009@nghs.gadirect.net | Direct | Northeast Georgia Physicians Group, Inc. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- NGMC Barrow, LLC
- Northeast Georgia Medical Center Habersham
- Northeast Georgia Medical Center Lumpkin
- Mountain Lakes Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Center for Spine & Pain Medicine, PC | Current | Accepting new patients | |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Northeast Georgia Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1413 Chattanooga Ave
Dalton, GA 30720
Phone (706) 279-2635
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
5440 Hillandale Dr
Lithonia, GA 30058
Phone (770) 322-2716
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
Interoperability endpoints
- opitan2022344@direct.trinity-health.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Internal Medicine
-
- Hospitalist Physician
- Rome, GA
- NPI 1912956251
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- Ambulatory Surgical Clinic/Center
- Dalton, GA
- NPI 1669428983
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winder, GA
- NPI 1881144889
-
- General Acute Care Hospital
- Dahlonega, GA
- NPI 1083174973
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- Critical Access Hospital
- Clayton, GA
- NPI 1326191180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1104174523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-9000",
"fax_number": "770-538-7872"
}
],
"practiceLocations": [
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-219-9000",
"fax_number": "770-538-7872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "715 Queen City Pkwy Ste 106",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305014335",
"country_code": "US",
"telephone_number": "678-450-1222",
"fax_number": "706-279-2679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITAN",
"first_name": "OLUBUNMI",
"middle_name": "TITILOPE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "074717",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "074717",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "074717",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oanibaba39009@nghs.gadirect.net",
"affiliation": "Y",
"affiliationName": "Northeast Georgia Physicians Group, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "743 Spring St NE",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "OLUBUNMI",
"last_name": "ANIBABA",
"middle_name": "TITILOPE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.