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BOLAJI T ODUSINA MD
NPI 1306803762
Pediatrics in Lawrenceville, GA

Active since April 28, 2006PECOS Enrolled
1155 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043(678) 442-0205(678) 442-0185 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bolaji T Odusina Md NPPES

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

BOLAJI T ODUSINA MD (NPI 1306803762) is an individual pediatrics provider in Lawrenceville, Georgia, licensed in Georgia (042380) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306803762
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBOLAJI T ODUSINACredential: MD
Location Address1155 LAWRENCEVILLE SUWANEE RDLawrenceville, GA 30043-5425
Mailing Address1155 Lawrenceville Suwanee RdLawrenceville, GA 30043-5425 · (678) 442-0205 · Fax (678) 442-0185
Phone(678) 442-0205
Fax(678) 442-0185
Sole ProprietorYes
Enumeration DateApril 28, 2006
Last NPPES UpdateMay 1, 2012
✔ NPI 1306803762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 042380
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.
1155 LAWRENCEVILLE SUWANEE RD, Lawrenceville, GA 30043
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Other Identifiers 1

Medicare UPINF86425

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

Bolaji T Odusina 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30043 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 5

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

KATHERINE A NGUYEN FNP-BC
Nurse Practitioner
1155 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 442-0205
MS. STEPHANIE EVELYN SNIPES PHYSICIAN ASSISTANT
Physician Assistant
1155 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 442-0205
ERIN ASHLEY COX CPNP-PC
Nurse Practitioner (Pediatrics)
1155 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 442-0205
SUWANEE PEDIATRICS PC
Clinic/Center (Primary Care)
1155 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 442-0205
OANH NGOC THI TRAN NP
Nurse Practitioner (Pediatrics)
1155 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 422-0205

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 Bolaji Odusina's NPI number?

The NPI number for Bolaji Odusina is 1306803762. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Bolaji Odusina located?

Bolaji Odusina practices at 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043. The listed phone number is (678) 442-0205.

What is Bolaji Odusina's specialty?

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

Is Bolaji Odusina enrolled in Medicare?

Yes. Bolaji Odusina is registered in the Medicare PECOS enrollment system.

What insurance does Bolaji Odusina accept?

Health plans from Alliant Health Plans, Inc. list Bolaji Odusina 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 Bolaji Odusina was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.