Oluwatobiloba Oladejo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN319108 Issued in GA

Practice address

4239 Mundy Mill Rd Ste E
Oakwood, GA 30566-2575

Phone

(470) 290-8290

NPI assigned

Sep 21, 2024

Last updated

Sep 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1861219966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 MUNDY MILL RD STE E",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662575",
            "telephone_number": "470-290-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 MUNDY MILL RD STE E",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662575",
            "telephone_number": "470-290-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADEJO",
        "first_name": "OLUWATOBILOBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN319108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Nicole O'Dell, M.D.
• Oakwood Eye Associates (Elan Eye of Oakwood)
• Oakwood Family Dental LLC
• Oakwood Medical Clinic
• Oakwood Smiles PC
• Tolulope Abiodun Olunuga, M.D.
• Prachi Patel, DMD
• Tejal A Patel, PHARM D. M.B.A
• Dawn Pawlik
• Peachtree Immediate Care FP, LLC (Peachtree Immediate Care)

• Family Nurse Practitioner in Oakwood, GA
• Providers in Oakwood, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.