Active NPI
Folake Olumayowa Taylor, M.D.
- Internal Medicine Physician
- Marietta, GA
National Provider Identifier
1962543306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 058360
- Practice address
- 3921 Shallowford Rd
Marietta, GA 30062-5013 - Phone
- (770) 649-0049
- Fax
- (770) 649-9092
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 058360 | GA | Primary |
Addresses
Primary practice location
3921 Shallowford Rd
Marietta, GA 30062-5013
Mailing address
3921 Shallowford Rd
Marietta, GA 30062-5013
Phone (770) 649-0049
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 384386095C | Medicaid | GA | |
| 058360 | Other | GA | MEDICAL LICENSE |
| 384386095B | Medicaid | GA | |
| 384386095A | Medicaid | GA |
Other names 1
- Dr. Folake Olumayowa Kolawole
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058360 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrollton Pediatric Clinic, P.C. | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- ftaylor33278@directwellstar.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Carrollton, GA
- NPI 1295834380
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388188800000",
"number": "1962543306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 SHALLOWFORD RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625013",
"telephone_number": "770-649-0049",
"fax_number": "770-649-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 SHALLOWFORD RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625013",
"telephone_number": "770-649-0049",
"fax_number": "770-649-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "FOLAKE",
"middle_name": "OLUMAYOWA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2013-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "058360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "384386095C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "058360",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "384386095B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "384386095A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FOLAKE",
"last_name": "KOLAWOLE",
"middle_name": "OLUMAYOWA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.