'Tola O. Charles Akomolafe, DPT

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PT4336 Issued in GA

Practice address

101 Beckett LN
Suite 402
Fayetteville, GA 30214-7155

Phone

(770) 507-2380

NPI assigned

Apr 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1669645982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EAGLES LANDING WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538802",
            "telephone_number": "770-507-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "SUITE 402",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147155",
            "telephone_number": "770-507-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOMOLAFE",
        "first_name": "'TOLA",
        "middle_name": "O. CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT4336",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "PT4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan O. Aina, DNP,FNP, PMHNP, CWS
• Air Evac EMS, Inc.
• Carol Aiyankhebor, RN
• Aj Surgical Associates
• Naveed Akhtar, MD
• Bashar Al-Turk
• Alaris Behavioral Services, P.C.
• Shelley Albertson, FNP
• Laura Albritton
• Frank Alena, M.D

• All providers in Fayetteville, GA
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.