OMOLOLA OTUBAGA NP
NPI 1033595566
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Q: What is Omolola Otubaga's NPI number?

The NPI number for Omolola Otubaga is 1033595566. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Q: What is Omolola Otubaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Omolola Otubaga was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2015PECOS EnrolledAccepts Medicare Assignment

101 BECKETT LN, STE. 304, FAYETTEVILLE, GA 30214(770) 703-4448(770) 703-4038 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Omolola Otubaga Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMOLOLA OTUBAGA NP (NPI 1033595566) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in Georgia (RN207871) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1033595566

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOMOLOLA OTUBAGACredential: NP

Location Address101 BECKETT LN, STE. 304Fayetteville, GA 30214-7155

Mailing Address5465 Highway 42, 246Ellenwood, GA 30294-3928 · (470) 646-3738 · Fax (888) 910-6463

Phone(770) 703-4448

Fax(770) 703-4038

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 6, 2015

Last NPPES UpdateApril 25, 2023

NPPES CertifiedApril 25, 2023

✔ NPI 1033595566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN207871

101 BECKETT LN, Fayetteville, GA 30214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omolola Otubaga Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779863188

PECOS Enrollment IDI20161130002356

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

61 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SALIH O FALDON M.D.

Family Medicine

101 BECKETT LN, 506
FAYETTEVILLE, GA 30214

Fayette County (678) 817-9255

GOD'S IN CONTROL TRANSPORTATION SERVICES

Non-emergency Medical Transport (VAN)

101 BECKETT LN, SUITE 505
FAYETTEVILLE, GA 30214

Fayette County (404) 918-1926

PROVIDER RESOURCE SOLUTIONS LLC

Supports Brokerage

101 BECKETT LN
FAYETTEVILLE, GA 30214

Fayette County (404) 829-2715

ASHFORD DENTAL INC. II

Dentist (General Practice)

101 BECKETT LN, SUITE 403
FAYETTEVILLE, GA 30214

Fayette County (770) 461-0400

JENNIFER CORBITT FREEMAN, M.D., P.C.

Specialist

101 BECKETT LN, SUITE 506
FAYETTEVILLE, GA 30214

Fayette County (678) 817-6314

DR. ROBIN DWAYNE ASHFORD D.D.S.

Dentist

101 BECKETT LN, SUITE 404
FAYETTEVILLE, GA 30214

Fayette County (770) 461-0400

PROVIDER RESOURCE SOLUTIONS OF GEORGIA, INC

Community/Behavioral Health

101 BECKETT LN, SUITE 505
FAYETTEVILLE, GA 30214

Fayette County (404) 829-2715

AUGUSTA ABBEY

Non-emergency Medical Transport (VAN)

101 BECKETT LN, SUITE 505
FAYETTEVILLE, GA 30214

Fayette County (404) 918-1926

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omolola Otubaga's NPI number?

The NPI number for Omolola Otubaga is 1033595566. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Where is Omolola Otubaga located?

Omolola Otubaga practices at 101 Beckett Ln Ste. 304, Fayetteville, GA 30214. The listed phone number is (770) 703-4448.

What is Omolola Otubaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Omolola Otubaga enrolled in Medicare?

Yes. Omolola Otubaga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Omolola Otubaga accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Omolola Otubaga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omolola Otubaga was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.