Individual provider Active NPI

Olawale Ladeloye

  • Adult Companion
  • Atlanta, GA
National Provider Identifier
1306486006
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
033-R-1947 Issued in GA
Practice address
2727 Paces Ferry Rd SE Ste 750
Atlanta, GA 30339-4053
Phone
(678) 464-1822
NPI assigned
Jan 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 033-R-1947 GA Primary

Addresses

Primary practice location

2727 Paces Ferry Rd SE Ste 750
Atlanta, GA 30339-4053

Mailing address

2727 Paces Ferry Rd SE Ste 750
Atlanta, GA 30339-4053
Phone (678) 464-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
033-R-1947GAMDAdult Companion

Practice roles

OrganizationSpecialtyStatusNew patients
Wolexo Management LLC Current Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 750
Atlanta, GA 30339
Phone (385) 377-9352

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1306486006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 PACES FERRY RD SE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394053",
            "telephone_number": "678-464-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 PACES FERRY RD SE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394053",
            "telephone_number": "678-464-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADELOYE",
        "first_name": "OLAWALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "GA",
            "license": "033-R-1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.