Olan Comprehensive Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

53032 Issued in GA

Legal business name

OLAN COMPREHENSIVE HEALTHCARE

Practice address

2169 Lawrenceville Hwy
Lawrenceville, GA 30044-7710

Phone

(770) 962-3700

Fax

(770) 962-8063

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Andree Necole Matthews

Title

Billing Manager

Phone

(678) 613-2971

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1346784055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447710",
            "telephone_number": "770-962-3700",
            "fax_number": "770-962-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447710",
            "telephone_number": "770-962-3700",
            "fax_number": "770-962-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAN COMPREHENSIVE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ANDREE",
        "authorized_official_middle_name": "NECOLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-613-2971",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "53032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ike Okoli, RPH
• Ugochi Okorafor
• May C Okoye, PHARMD
• Toyin Okunato, RN
• Oladoyin Olaiya Oni
• Chikodi S. Olayinka
• Old Norcross Road Pharmacy LLC (Old Norcross Road Pharmacy)
• Hayley Savanna Oliver, LPMT, MT-BC
• Jelessa Oliver, RN
• Mackenzie Brown Oliver

• Family Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, 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 Dec 14, 2016; 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.