NPIMap

Individual provider Active NPI

Olumuyiwa Joshua, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Fayetteville, GA
National Provider Identifier
1144322157
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
85682 Issued in SC
Practice address
1265 Highway 54 W
Suite 500-D
Fayetteville, GA 30214-4548
Phone
(770) 719-5625
Fax
(678) 817-7125
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 056185 GA
Pulmonary Disease Physician 207RP1001X 056185 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 056185 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 85682 SC Primary

Addresses

Primary practice location

1265 Highway 54 W
Suite 500-D
Fayetteville, GA 30214-4548

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

890 W Faris Rd Ste 580
Greenville, SC 29605-4281
Phone (864) 455-7874

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, WV, KY4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050708000705 GA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5991748048 Reassigns benefits to 5 organizations
I20210929001626 SC Practitioner - Pulmonary Disease 5991748048 Reassigns benefits to 2 organizations
I20250925005039 WV Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5991748048 Reassigns benefits to 2 organizations
I20260605002680 KY Practitioner - Pulmonary Disease 5991748048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

1265 Hwy 54 W
Suite 500D
Fayetteville, GA 30214-4537
Phone (678) 613-5554

200 Medical Ctr Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85682SCMDCritical Care Medicine (Internal Medicine) Physician
056185GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Care Specialists of Georgia Current Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 30, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc Critical Care Medicine CurrentSince Dec 1, 2020 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Oct 2, 2025 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Jun 6, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Critical Care Medicine CurrentSince Jan 3, 2022 Accepting new patients
Lung Care Specialists PC Critical Care Medicine CurrentSince Oct 12, 2005 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 13, 2021 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 13, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 3, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Southern Behavioral Healthcare,P.C Past Accepting new patients

Locations

1265 Highway 54 W
Ste 500D
Fayetteville, GA 30214
Phone (678) 613-5554

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

222 Arrowhead Blvd
Jonesboro, GA 30236
Phone (678) 610-7100

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

890 W Faris Rd
Ste 580
Greenville, SC 29605
Phone (864) 455-7874

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIDIBD/Endpoint/EIDIBD

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1144322157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 HIGHWAY 54 W",
            "address_2": "SUITE 500-D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144548",
            "telephone_number": "770-719-5625",
            "fax_number": "678-817-7125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 W Faris Rd Ste 580",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054281",
            "country_code": "US",
            "telephone_number": "864-455-7874",
            "fax_number": "864-455-8933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHUA",
        "first_name": "OLUMUYIWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "056185",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "056185",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "056185",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "85682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.