Individual provider Active NPI

Folarin Adegboyega Olubowale, MD

  • Infectious Disease Physician
  • Columbus, GA
National Provider Identifier
1437138872
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
GA 41348 Issued in GA
Practice address
1711 Buena Vista Rd
Suite 5
Columbus, GA 31906-6141
Phone
(706) 571-3300
Fax
(706) 571-3320
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X GA 41348 GA Primary

Addresses

Primary practice location

1711 Buena Vista Rd
Suite 5
Columbus, GA 31906-6141

Mailing address

1711 Buena Vista Road
Suite 5
Columbus, GA 31906-6143
Phone (706) 571-3300

Other identifiers 1

IdentifierTypeStateIssuer
000728637AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080418000467 AL Practitioner - Internal Medicine 6901984848 Practice locations: Phenix City, AL
I20080826000684 GA Practitioner - Internal MedicinePractitioner - Infectious Disease 6901984848 Practice locations: Columbus, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1711 Buena Vista Rd
Columbus, GA 31906-6143
Phone (706) 571-3300

1711 Buena Vista Rd
Suite 5
Columbus, GA 31906-6141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA 41348GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: folarin_olubowale_md@yourcarecommunity.org
  • Direct secure messaging: folarin.olubowale.1@15546.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1437138872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 BUENA VISTA ROAD",
            "address_2": "SUITE 5",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319066143",
            "telephone_number": "706-571-3300",
            "fax_number": "706-571-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 BUENA VISTA RD",
            "address_2": "SUITE 5",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319066141",
            "telephone_number": "706-571-3300",
            "fax_number": "706-571-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUBOWALE",
        "first_name": "FOLARIN",
        "middle_name": "ADEGBOYEGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "GA 41348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000728637A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.