Abiola Olutayo Ojewole, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

61991 Issued in GA

Practice address

3805 Covington Hwy
Decatur, GA 30032-2643

Phone

(404) 383-1300

Fax

(404) 383-0772

NPI assigned

Apr 24, 2008

Last updated

Apr 16, 2025By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abiola.ojewole@centerwell.eclinicaldirectplus.com

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.

• PMR Georgia Holding, LLC

  dba Jencare Neighborhood Medical Center

  • Specialist
  • Miami Gardens, FL
  • NPI 1609329630

  GA

  Medicare reassignment NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care- Grove Park

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1013672815
  NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-Woodstock

  • Internal Medicine Physician
  • Woodstock, GA
  • NPI 1689491680
  NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-Old National

  • Internal Medicine Physician
  • South Fulton, GA
  • NPI 1801463468
  NPD
• PMR Georgia Holding, LLC

  dba Jencare Senior Medical Center Belvedere

  • Non-Pharmacy Dispensing Site
  • Decatur, GA
  • NPI 1508646779
  NPD
• Jencare Neighborhood Medical Center West End, LLC

  • Specialist
  • Atlanta, GA
  • NPI 1366783524
  NPD (past)
• Mosthouse Inc

  dba Mosthouse Lab Test & Healthcare Services

  • Family Nurse Practitioner
  • Smyrna, GA
  • NPI 1083859193
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1306011077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322643",
            "telephone_number": "404-383-1300",
            "fax_number": "404-383-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322643",
            "telephone_number": "404-383-1300",
            "fax_number": "404-383-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEWOLE",
        "first_name": "ABIOLA",
        "middle_name": "OLUTAYO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "128423",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "61991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G032865196",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abiola.ojewole@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2056 Donald Lee Hollowell Pkwy NW Ste 1",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303184764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Oh, PHARMD
• Chiemela Ohanele
• Obiageri Ohayagha, APRN
• Johann Kurt Ohberg, P.A.
• Pere Isabella Ojemolon
• Eriidina Liiza Ojiiwawh, D.C.
• Jennifer Dawn Okhiria, D.D.S.
• Francelle W Okongwu, M.D
• Nwamaka Vivian Okonkwo
• Iyabo Okuwobi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.