OLUFOWOBI GBADEBO MD
NPI 1205924289
Psychiatry & Neurology - Child & Adolescent Psychiatry in Statesboro, GA
About Olufowobi Gbadebo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUFOWOBI GBADEBO MD (NPI 1205924289) is an individual child & adolescent psychiatry provider in Statesboro, Georgia, licensed in Georgia (054096) and active in the NPI registry since October 2006. He has opted out of Medicare through June 29, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Olufowobi Gbadebo Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 29, 2015 through June 29, 2027.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATESBORO, GA 30458
STATESBORO, GA 30458
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 Olufowobi Gbadebo's NPI number?
The NPI number for Olufowobi Gbadebo is 1205924289. It was assigned to this individual provider in the NPPES registry on October 11, 2006.
Where is Olufowobi Gbadebo located?
Olufowobi Gbadebo practices at 116 Hill Pond Ln, Statesboro, GA 30458. The listed phone number is (912) 489-1629.
What is Olufowobi Gbadebo's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Olufowobi Gbadebo enrolled in Medicare?
No. Olufowobi Gbadebo has opted out of Medicare through June 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Olufowobi Gbadebo accept?
Health plans from Providence Health Plan list Olufowobi Gbadebo 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 Olufowobi Gbadebo was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Olufowobi Gbadebo, MD · NPI 1205924289
Child & Adolescent Psychiatry physician in Statesboro, Georgia. Individual provider, active in the CMS NPPES registry since October 11, 2006.
## Identity
- **NPI:** 1205924289 (Entity type: Individual)
- **Enumerated:** October 11, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 054096 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 116 HILL POND LN, Statesboro, GA 30458-0872
- **Phone:** (912) 489-1629
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 29, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 22, 2010
- **Other identifiers:** Medicare UPIN G86060; Medicaid 32497000 (WI); Medicare ID-Type Unspecified 020020270 (WI); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1205924289) · Data from the CMS NPPES public registry.