Taiwo Olusegun Fowowe

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2005 Club Bay Dr
Villa Rica, GA 30180-5136

Phone

(267) 575-5092

NPI assigned

Sep 3, 2013

Last updated

Sep 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1134554603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CLUB BAY DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805136",
            "telephone_number": "267-575-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CLUB BAY DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805136",
            "telephone_number": "267-575-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWOWE",
        "first_name": "TAIWO",
        "middle_name": "OLUSEGUN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Fordyce, PMHNP-BC
• April Jiles Fortenberry, PNP-PC
• Tadia Alexandria Foster, LMSW
• Foundation Community Services, LLC
• Oluseyi Fowowe
• Carlie Sandefur Fratt, M.ED CCC-SLP
• Ann Marie Decker Frederick, MD
• Fredric a Moore DMD PC
• Kristan Monet Freeman
• Kalyn Friar

• Developmental Therapist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Developmental Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.