Omolara Kuteyi MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

053776 Issued in GA

Legal business name

OMOLARA KUTEYI MD, INC

Practice address

3546 Covington Hwy
Suite C
Decatur, GA 30032-1823

Phone

(404) 284-7744

Fax

(404) 284-8006

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Omolara B Kuteyi, MDNPI 1780648568

Title

Owner

Phone

(404) 284-7744

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omolara B Kuteyi, M.D.

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1780648568
  Medicare reassignment NPD Authorized official
• Terri Morton Acker

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1396898144
  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1235343088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 EMMA JEAN PL SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643798",
            "telephone_number": "404-284-7744",
            "fax_number": "404-284-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 COVINGTON HWY",
            "address_2": "SUITE C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321823",
            "telephone_number": "404-284-7744",
            "fax_number": "404-284-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMOLARA KUTEYI MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "KUTEYI",
        "authorized_official_first_name": "OMOLARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-284-7744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "053776",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A. Olson, M.D.
• Omolara Ann Oluloro, MD, MPH
• Deslyn Ann Olunuga, MD
• Omni Medical Group LLC
• Omni One Professional Counseling LLC
• Franklin Igbin Omorogbe, PMHNP
• Toluwalope Omosa
• Oms, LLC
• On-Site Physical Therapy LLC
• Maria Olushola Onatunde

• Family Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.