TAIWO OLUSHOLA ODEDEYI M.D
NPI 1124334628
Psychiatry & Neurology - Child & Adolescent Psychiatry in Jonesboro, GA

Q: What is Taiwo Odedeyi's NPI number?

The NPI number for Taiwo Odedeyi is 1124334628. It was assigned to this individual provider in the NPPES registry on August 23, 2010.

Q: What is Taiwo Odedeyi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Taiwo Odedeyi was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 23, 2010PECOS Enrolled

222 ARROWHEAD BLVD, JONESBORO, GA 30236(678) 610-7100(678) 610-7111 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Taiwo Olushola Odedeyi M.d NPPES

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

TAIWO OLUSHOLA ODEDEYI M.D (NPI 1124334628) is an individual child & adolescent psychiatry provider in Jonesboro, Georgia, licensed in Georgia (64622) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124334628

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameTAIWO OLUSHOLA ODEDEYICredential: M.D

Location Address222 ARROWHEAD BLVDJonesboro, GA 30236-1102

Mailing Address222 Arrowhead BlvdJonesboro, GA 30236-1102 · (678) 610-7100 · Fax (678) 610-7111

Phone(678) 610-7100

Fax(678) 610-7111

Sole ProprietorNo

Enumeration DateAugust 23, 2010

✔ NPI 1124334628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in GA · 64622

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

222 ARROWHEAD BLVD, Jonesboro, GA 30236

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taiwo Olushola Odedeyi M.d 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 Taiwo Odedeyi's NPI number?

The NPI number for Taiwo Odedeyi is 1124334628. It was assigned to this individual provider in the NPPES registry on August 23, 2010.

Where is Taiwo Odedeyi located?

Taiwo Odedeyi practices at 222 Arrowhead Blvd, Jonesboro, GA 30236. The listed phone number is (678) 610-7100.

What is Taiwo Odedeyi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Taiwo Odedeyi enrolled in Medicare?

Yes. Taiwo Odedeyi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taiwo Odedeyi was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.