Olujimi Idowu Oluwole, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

69322 Issued in GA

Practice address

505 Leighton Woods CT
Smyrna, GA 30080-5534

Phone

(770) 366-9614

NPI assigned

Jun 3, 2010

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

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joluwole@injurymd.officeally.direct

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.

• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Accident Injury MD

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1699364182
  NPD Authorized official
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  • Urgent Care Clinic/Center
  • Marietta, GA
  • NPI 1558659854
  NPD

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1306166178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 LEIGHTON WOODS CT",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300805534",
            "telephone_number": "770-366-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LEIGHTON WOODS CT",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300805534",
            "telephone_number": "770-366-9614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5412 W Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330635209",
            "country_code": "US",
            "telephone_number": "954-532-2441",
            "fax_number": "954-827-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUWOLE",
        "first_name": "OLUJIMI",
        "middle_name": "IDOWU",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "69322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Eutsey Oldham
• Angela Oliver, FNP-BC
• Bailey K Oliver
• Laura Hooke Olsen
• Yetunde O. Olutunmbi, M.D.
• Clare Amira Omekam, MD
• One Nurse LLC
• Oneopto Ga 1 PLLC
• Akhabue Onobun
• Maureen Ogechukwu Onyima, PMHNP

• Family Medicine Physician in Smyrna, GA
• Providers in Smyrna, 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 Mar 9, 2023; 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.