Individual provider Active NPI

Kay Olukayode Oso, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1497898662
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44049 Issued in GA
Practice address
3890 Redwine Rd SW
Suite 210
Atlanta, GA 30331-5582
Phone
(404) 691-6688
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44049 GA Primary

Addresses

Primary practice location

3890 Redwine Rd SW
Suite 210
Atlanta, GA 30331-5582

Mailing address

1029 N Peachtree Pkwy Ste 376
Peachtree City, GA 30269-4210
Phone (404) 691-6688

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100927001030 GA Practitioner - Internal Medicine 1759407893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3890 Redwine Rd SW
Suite 210
Atlanta, GA 30331-5583
Phone (404) 691-6688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44049GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Internal Medicine and Primary Care Inc Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients

Locations

3890 Redwine Rd SW
Ste 210
Atlanta, GA 30331
Phone (404) 346-3417

1029 N Peachtree Pkwy
Peachtree Cty, GA 30269
Phone (404) 293-1109

Interoperability endpoints

  • Direct secure messaging: kay.oso.2@8606.direct.athenahealth.com
  • Direct secure messaging: kay.oso.1@8606.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8606/brand/1/csg/1/fhir/r4

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1497898662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 N PEACHTREE PKWY STE 376",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694210",
            "telephone_number": "404-691-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW",
            "address_2": "SUITE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315582",
            "telephone_number": "404-691-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSO",
        "first_name": "KAY",
        "middle_name": "OLUKAYODE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "44049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.