Individual provider Active NPI

Folashade Omole, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1841290707
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
049074 Issued in GA
Practice address
455 Lee St SW FL 2
Atlanta, GA 30310-1408
Phone
(404) 752-1000
Fax
(404) 752-1191
NPI assigned
Jul 21, 2005
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 049074 GA Primary

Addresses

Primary practice location

455 Lee St SW FL 2
Atlanta, GA 30310-1408

Mailing address

720 Westview Dr SW Ste 100
Atlanta, GA 30310-1458
Phone (404) 756-1400

Other identifiers 1

IdentifierTypeStateIssuer
000877599MedicaidGA

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
I20110311000764 GA Practitioner - Family Practice 2567644552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morehouse Medicine Inc.Group PAC ID 3779082631, 30 clinicians
Morehouse Healthcare, Inc.Group PAC ID 6002701273, 155 clinicians

Practice addresses (Care Compare)

455 Lee St
2ND Floor
Atlanta, GA 30303
Phone (404) 752-1000

80 Jesse Hill Jr Dr NE
Atlanta, GA 30303-2613
Phone (404) 756-1410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049074GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Medicine Inc. Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Morehouse Healthcare, Inc. CurrentSince Jul 1, 2000 Accepting new patients

Locations

455 Lee St SW
Fl 2
Atlanta, GA 30310
Phone (404) 756-1241

720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383

720 Westview Dr SW
Ste 100
Atlanta, GA 30310
Phone (404) 756-5752

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

1513 Cleveland Ave
Bldg 500
East Point, GA 30344
Phone (404) 756-1290

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

Interoperability endpoints

  • Direct secure messaging: folashade.omole.1@24920.direct.athenahealth.com
  • Direct secure messaging: fomole2739709@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1841290707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-1400",
            "fax_number": "404-756-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LEE ST SW FL 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101408",
            "telephone_number": "404-752-1000",
            "fax_number": "404-752-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOLE",
        "first_name": "FOLASHADE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000877599",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.