Olatunde Synthia Olatunji

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

216620 Issued in GA

Practice address

6011 Hendrix LN
Mableton, GA 30126-3483

Phone

(404) 496-4461

NPI assigned

Jan 16, 2018

Sex

Female

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pruitthealth Physicians Services LLCGroup PAC ID 8123327061, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• His Hands Family Practice Clinic LLC

  • Family Nurse Practitioner
  • Mableton, GA
  • NPI 1003403163
  Medicare reassignment NPD Authorized official
• Pruitthealth Physicians Services, LLC

  dba PruittHealth Physicians Services

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1043676299

  Family

  Medicare reassignment Care Compare group NPD
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324
  Medicare reassignment NPD

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1316455066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 HENDRIX LN",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263483",
            "telephone_number": "404-496-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 HENDRIX LN",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263483",
            "telephone_number": "404-496-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATUNJI",
        "first_name": "OLATUNDE",
        "middle_name": "SYNTHIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "216620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Georgia PC (Concentra Medical Center)
• Kyran Ochocki, PHARM.D.
• Patience Ogaga-Mgbonyebi
• Alphonse Okechukwu Okibedi Jr., PHARM. D
• Clement C Okongwu
• Omega Transportation Services, LLC
• Ifeanyi Jake Onwuka, PHARMD
• Bernard N. Orewa, MD
• Parker Active Recovery LLC
• Tiffany Adele Parker, LPC

• Family Nurse Practitioner in Mableton, GA
• Providers in Mableton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.