Individual provider Active NPI

Irene Olabode, DO

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1619297744
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68690 Issued in GA
Practice address
1445 Woodmont LN NW Ste 1002
Atlanta, GA 30318-2866
Phone
(760) 284-5368
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P7014 TX
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101027723 MI
Family Medicine Physician 207Q00000X 02007575A IN
Family Medicine Physician 207Q00000X 326504-01 NY
Internal Medicine Physician 207R00000X 05699 KY
Family Medicine Physician 207Q00000X 68690 GA Primary

Addresses

Primary practice location

1445 Woodmont LN NW Ste 1002
Atlanta, GA 30318-2866

Mailing address

1445 Woodmont LN NW Ste 1002
Atlanta, GA 30318-2866

Other practice location 1

1945 Lakepointe Dr
Lewisville, TX 75057-6424
Phone (469) 319-9426

Other practice location 2

1222 North Bishop
Suite 300
Dallas, TX 75208-4176
Phone (214) 941-1353

Other practice location 3

2840 Lavista Rd Ste A
Decatur, GA 30033-1350
Phone (404) 778-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20130916000597 TX Practitioner - Family Practice 2567619349 Reassigns benefits to 1 organization
I20200713003825 GA Practitioner - Family Practice 2567619349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Talk Health FL PAGroup PAC ID 3173995966, 31 clinicians

Practice addresses (Care Compare)

Suwanee, GA 30024
Phone (443) 929-1478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004181GAMDProfessional Counselor
02007575AINMDFamily Medicine Physician
5101027723MIMDFamily Medicine Physician
326504-01NYMDFamily Medicine Physician
05699KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Single Specialty CurrentSince Sep 28, 2015 Accepting new patients
Emory Specialty Associates, LLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Medhealth Single Specialty CurrentSince Sep 28, 2015 Accepting new patients
Care Talk Health FL PA Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
The Emory Clinic Inc Single Specialty CurrentSince Nov 23, 2020 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091

2840 Lavista Rd
Ste A
Decatur, GA 30033
Phone (404) 639-9180

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

1222 N Bishop Ave
Ste 300
Dallas, TX 75208
Phone (214) 941-1353

3400 W Wheatland Rd
Dallas, TX 75237

Interoperability endpoints

  • Direct secure messaging: iolabode20157@direct.emory.org

Organizations & group practices 5

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1619297744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 1002",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 1002",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "760-284-5368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Lakepointe Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750576424",
            "country_code": "US",
            "telephone_number": "469-319-9426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1222 NORTH BISHOP",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084176",
            "country_code": "US",
            "telephone_number": "214-941-1353",
            "fax_number": "214-941-1047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2840 Lavista Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300331350",
            "country_code": "US",
            "telephone_number": "404-778-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLABODE",
        "first_name": "IRENE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7014",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101027723",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02007575A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "326504-01",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "05699",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "68690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.