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KOLADE KEHINDE OBAJULUWA M.D.
NPI 1184859027
Pediatrics in Douglasville, GA

Active since May 21, 2009PECOS Enrolled
6043 PRESTLEY MILL RD STE E, DOUGLASVILLE, GA 30134(770) 920-2255(770) 489-3951 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Jan 10, 2018 (2 updates tracked since 2018).

About Kolade Kehinde Obajuluwa M.d. NPPES

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

KOLADE KEHINDE OBAJULUWA M.D. (NPI 1184859027) is an individual pediatrics provider in Douglasville, Georgia, licensed in Illinois (036127051) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Douglasville.

NPPES Registry Identity

NPI1184859027
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKOLADE KEHINDE OBAJULUWACredential: M.D.
Location Address6043 PRESTLEY MILL RD STE EDouglasville, GA 30134-2280
Mailing Address6043 Prestley Mill Rd Ste EDouglasville, GA 30134-2280 · (770) 920-2255 · Fax (770) 489-3951
Phone(770) 920-2255
Fax(770) 489-3951
Sole ProprietorNo
Enumeration DateMay 21, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1184859027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036127051
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6043 PRESTLEY MILL RD STE E, Douglasville, GA 30134
Open in Google Maps ↗

Secondary Practice Location 1

Location 16095 Professional Pkwy Ste 100Douglasville, GA 30134-5607 · Phone (770) 920-2255 · Fax (770) 920-9963

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kolade Kehinde Obajuluwa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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

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

PREMIER HEALTHCARE SOLUTIONS
Physical Therapist
6043 PRESTLEY MILL RD STE E
DOUGLASVILLE, GA 30134
Douglas County (770) 803-1007

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 Kolade Obajuluwa's NPI number?

The NPI number for Kolade Obajuluwa is 1184859027. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Kolade Obajuluwa located?

Kolade Obajuluwa practices at 6043 Prestley Mill Rd Ste E, Douglasville, GA 30134. The listed phone number is (770) 920-2255.

What is Kolade Obajuluwa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kolade Obajuluwa enrolled in Medicare?

Yes. Kolade Obajuluwa is registered in the Medicare PECOS enrollment system.

What insurance does Kolade Obajuluwa accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kolade Obajuluwa 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 Kolade Obajuluwa was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.