Olusola Justin Ayankola, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

90520 Issued in GA

Practice address

355 Tower Rd NE Ste 203
Marietta, GA 30060-9413

Phone

(470) 267-1580

Fax

(470) 267-1589

NPI assigned

Mar 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, SC, TX, MS, LA, CO, NC, IN, WA, FL, TN, AL, IA, NJ, PA, OH, CA17 enrollments

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 17

Specialty

Psychiatry

Education

Harvard Medical School, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olusola.ayankola.1@22854.direct.athenahealth.com

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.

• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Monogram Health Professional Services of Texas PLLC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1396481255

  Psychiatry, TX

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  IN, OH, PA, Psychiatry, SC, WA

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1255930228

  GA, Psychiatry

  Medicare reassignment NPD
• Monogram Health Professional Services of California PC

  • Nephrology Physician
  • Orange, CA
  • NPI 1245950757
  Medicare reassignment
• Monogram Health Professional Services of Colorado, PC

  • Nephrology Physician
  • Denver, CO
  • NPI 1023733359
  Medicare reassignment
• Monogram Health Professional Services of Florida LLC

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1538883111
  Medicare reassignment
• Monogram Health Professional Services of Iowa PLLC

  • Nephrology Physician
  • Davenport, IA
  • NPI 1285344150
  Medicare reassignment
• Monogram Health Professional Services of New Jersey LLC

  • Nephrology Physician
  • Paramus, NJ
  • NPI 1578284246
  Medicare reassignment
• Monogram Health Professional Services of North Carolina PC

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1366162885
  Medicare reassignment
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1326655986

  MS

  Medicare reassignment
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1336748300

  AL

  Medicare reassignment

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1992236822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TOWER RD NE STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609413",
            "telephone_number": "470-267-1580",
            "fax_number": "470-267-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 TOWER RD NE STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609413",
            "telephone_number": "470-267-1580",
            "fax_number": "470-267-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 George St",
            "address_2": "Suite 901",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065116624",
            "country_code": "US",
            "telephone_number": "203-785-2095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYANKOLA",
        "first_name": "OLUSOLA",
        "middle_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "63712",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "90520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jayankola530137@directwellstar.org",
            "affiliation": "N",
            "address_1": "355 Tower Rd NE Ste 203",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300609413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Awaken Counseling LLC
• James Awe, PHARMD
• Amaka L Awoniyi, MD
• Axis Hope, LLC
• Ryan Ayala
• Nellisha Ayeni
• Daniel T Ayers, P.A.-C
• Az Global Marketing Company, Inc.
• Ryan Azarkhail, MD
• Arif A Aziz, MD

• Psychiatry Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.