Adediran Tobi Onagoruwa

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

244450 Issued in NC

Practice address

1421 Charing Cross Way
Lawrenceville, GA 30046-2880

Phone

(336) 382-9766

NPI assigned

May 17, 2021

Last updated

May 17, 2021By 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

State licenses

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1275107914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 CHARING CROSS WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462880",
            "telephone_number": "336-382-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 CHARING CROSS WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462880",
            "telephone_number": "336-382-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONAGORUWA",
        "first_name": "ADEDIRAN",
        "middle_name": "TOBI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "244450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Omer
• Mary Omorogbe
• On Demand Mobile Labs & Services ,LLC
• On-Site Health Solutions of Atlanta, LLC
• Norvin Ilao Ona, D.O.
• Leslie Shannon Oneill
• Janet Atieno Ongati
• Damiana K Oni, LCSW
• Ime Otu Onofiok, PHARM D
• Richard Ameh Onoja, DNP

• Psychiatric/Mental Health Registered Nurse in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.