1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Plastic Surgery
  6. NPI Profile

OLATOMIDE T FAMILUSI M.D.
NPI 1053766352
Plastic Surgery in Marietta, GA

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
2550 WINDY HILL RD SE STE 312, MARIETTA, GA 30067(516) 983-7269 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Olatomide T Familusi M.d. NPPES

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

OLATOMIDE T FAMILUSI M.D. (NPI 1053766352) is an individual plastic surgery provider in Marietta, Georgia, licensed in Georgia (93753) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053766352
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameOLATOMIDE T FAMILUSICredential: M.D.
Location Address2550 WINDY HILL RD SE STE 312Marietta, GA 30067-8655
Mailing Address2550 Windy Hill Rd Se Ste 312Marietta, GA 30067-8655 · (516) 983-7269
Phone(516) 983-7269
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1053766352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in GA · 93753
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2550 WINDY HILL RD SE STE 312, Marietta, GA 30067
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olatomide T Familusi M.d. 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 ID5698147015
PECOS Enrollment IDI20230214000103
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Olatomide Familusi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northside Surgical Professional Services LLC
7.2 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535
Phoebe Gastroenterology Associates
158 mi
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1659627131 (229) 312-0669

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Olatomide Familusi's NPI number?

The NPI number for Olatomide Familusi is 1053766352. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Olatomide Familusi located?

Olatomide Familusi practices at 2550 Windy Hill Rd SE Ste 312, Marietta, GA 30067. The listed phone number is (516) 983-7269.

What is Olatomide Familusi's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Olatomide Familusi enrolled in Medicare?

Yes. Olatomide Familusi 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.

Which organizations bill Medicare for Olatomide Familusi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olatomide Familusi reassigns Medicare benefits to 2 organizations: Northside Surgical Professional Services LLC (Atlanta, GA) and Phoebe Gastroenterology Associates (Albany, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olatomide Familusi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olatomide Familusi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Olatomide Familusi 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.

Is Olatomide Familusi affiliated with any hospitals?

According to CMS data, Olatomide Familusi is affiliated with Northside Hospital Cherokee.

When was this NPI record last updated?

The NPPES record for Olatomide Familusi was last updated on February 20, 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.