Olatunji Awe, M.D.
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Garden City, GA
NPI 1689737686 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1689737686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 047570 (GA)
- Practice address
- 200 Gulf Stream Rd.
Garden City, GA 31418 - Phone
- (912) 963-2506
- Fax
- (912) 756-6966
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors to Go LLC
Southland Optim Screven Emergency Medical Services LLC
Practice addresses (Care Compare)
200 N River St
Claxton, GA 30417-1659
Phone (912) 739-5000
247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000
Hospital & facility affiliations
- Evans Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070711000567 | GA | Practitioner - Emergency Medicine | 6709986367 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047570 | GA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors to Go, LLC | Emergency Medicine | Current |
Accepting new patients |
| Southland Bainbridge Hospitalist Group, LLC | Current |
Accepting new patients | |
| Nes Georgia, Inc. | Emergency Medicine | Past | Accepting new patients |
| Wills Memorial Emergency Medical Services, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
200 N River St
Claxton, GA 30417
Phone (912) 739-2611
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575
247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 047570 | GA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 047570 | GA | Yes |
Addresses
Primary practice location
200 Gulf Stream Rd.
Garden City, GA 31418
Mailing address
164 Taylor CT
Richmond Hill, GA 31324-5359
Phone (912) 756-6966
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00889611A | Medicaid | GA |
Other providers in Garden City, GA
- All About Medical Transport
- American Current Care PA
- Bio-Medical Applications of Georgia, Inc.
- Lindsay Beam Blakey
- David B Bradley
- Megan Nicole Bunkley
- Candler Medical Group, Inc. - Garden City Health Center
All providers in Garden City, GA · Emergency Medical Services (Emergency Medicine) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.