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OMOBOSOLA OMORONIKE SALISU MD
NPI 1043154768
Student in an Organized Health Care Education/Training Program in Griffin, GA

Active since April 15, 2026PECOS Enrolled
WELLSTAR GME INTERNAL MEDICINE CLINIC (SPALDING HOSPITA, 747 SOUTH 8TH STREET SUITE B, GRIFFIN, GA 30224(470) 604-8250 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 4, 2026, Apr 15, 2026 (2 updates tracked since 2026).

About Omobosola Omoronike Salisu Md NPPES

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

OMOBOSOLA OMORONIKE SALISU MD (NPI 1043154768) is an individual student in an organized health care education/training program in Griffin, Georgia and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043154768
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOMOBOSOLA OMORONIKE SALISUCredential: MD
Location AddressWELLSTAR GME INTERNAL MEDICINE CLINIC (SPALDING HOSPITA, 747 SOUTH 8TH STREET SUITE BGriffin, GA 30224
Mailing Address747 South 8th Street Suite B, Spalding HospitalGriffin, GA 30224 · (470) 604-8250
Phone(470) 604-8250
Sole ProprietorNo
Enumeration DateApril 15, 2026
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1043154768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
WELLSTAR GME INTERNAL MEDICINE CLINIC (SPALDING HOSPITA, Griffin, GA 30224
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omobosola Omoronike Salisu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Omobosola Salisu's NPI number?

The NPI number for Omobosola Salisu is 1043154768. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Omobosola Salisu located?

Omobosola Salisu practices at Wellstar Gme Internal Medicine Clinic (spalding Hospita 747 South 8th Street Suite B, Griffin, GA 30224. The listed phone number is (470) 604-8250.

What is Omobosola Salisu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Omobosola Salisu enrolled in Medicare?

Yes. Omobosola Salisu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omobosola Salisu was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.