Bolaji Aremu, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

02870 Issued in GA

Practice address

Fci
2600 Hwy 301 South
Jesup, GA 31599-0001

Phone

(912) 427-0870

Fax

(912) 427-1250

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• Fci Jesup

  • Prison Health Clinic/Center
  • Jesup, GA
  • NPI 1508538679
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205043288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304270721",
            "telephone_number": "912-654-9006",
            "fax_number": "912-427-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FCI",
            "address_2": "2600 HWY 301 SOUTH",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315990001",
            "telephone_number": "912-427-0870",
            "fax_number": "912-427-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREMU",
        "first_name": "BOLAJI",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "02870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavina Michelle Andrews
• Ankle and Foot Assoc, LLC
• Applecare LLC
• Applecare of Jesup LLC
• Amber Bartlett Aragon, M.D.
• Anthony Hugh Armstrong Jr., DMD
• Atlantic Medical Transports LLC
• Antwan Lajunne Baker, AGACNP-BC
• Karen E. Bamberg, ANP-BC
• Kalli Mercedes Barber, NP-C

• Medical Physician Assistant in Jesup, GA
• Providers in Jesup, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.