Active NPI
Irene Olabode, DO
- Family Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 68690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P7014 | TX | |
| Family Medicine Physician | 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004181 | GA | MD | Professional Counselor |
| 02007575A | IN | MD | Family Medicine Physician |
| 5101027723 | MI | MD | Family Medicine Physician |
| 326504-01 | NY | MD | Family Medicine Physician |
| 05699 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Single Specialty | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Single Specialty | Current | Accepting new patients |
| Medhealth | Single Specialty | Current | Accepting new patients |
| Care Talk Health FL PA | Single Specialty | Current | Accepting new patients |
| The Emory Clinic Inc | Single Specialty | Current | 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
- 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.
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1477263077
GA, Single Specialty
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.