DR. OLATOKUNBO EFUNSAMI SOYODE-ETOMI M.D.
NPI 1326132804
Community/Behavioral Health in Gastonia, NC

Q: What is Olatokunbo Soyode-etomi's NPI number?

The NPI number for Olatokunbo Soyode-etomi is 1326132804. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Olatokunbo Soyode-etomi's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since October 02, 2006PECOS Enrolled

549 COX RD, GASTONIA, NC 28054(704) 865-1558(704) 865-9908 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2020, Jun 21, 2018 (2 updates tracked since 2018).

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About Dr. Olatokunbo Efunsami Soyode-etomi M.d. NPPES

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

DR. OLATOKUNBO EFUNSAMI SOYODE-ETOMI M.D. (NPI 1326132804) is an individual community/behavioral health provider in Gastonia, North Carolina, licensed in North Carolina (9300327) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326132804

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameDR. OLATOKUNBO EFUNSAMI SOYODE-ETOMICredential: M.D.

Location Address549 COX RDGastonia, NC 28054-0628

Mailing Address500 Archdale DrCharlotte, NC 28217-4217 · (704) 332-9001

Phone(704) 865-1558

Fax(704) 865-9908

Sole ProprietorYes

Enumeration DateOctober 2, 2006

Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration

NPPES CertifiedOctober 20, 2025

✔ NPI 1326132804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NC · 9300327

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

549 COX RD, Gastonia, NC 28054

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Other Identifiers 1

Medicaid8930894NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Dr. Olatokunbo Efunsami Soyode-etomi 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.

Other Providers at the Same Location NPPES 20

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

MARGARET REVELS LPN

Licensed Practical Nurse

549 COX RD
GASTONIA, NC 28054

Gaston County (707) 865-1558

GENESISHOUSE, INC.

Case Management

549 COX RD, SUITE A
GASTONIA, NC 28054

Gaston County (704) 852-3778

DEANNA PEARSON LPN

Licensed Practical Nurse

549 COX RD
GASTONIA, NC 28054

Gaston County (704) 865-1558

TONYA COSTNER

Counselor (Addiction (Substance Use Disorder))

549 COX RD
GASTONIA, NC 28054

Gaston County (704) 332-9001

ROSE WATKINS LPN

Licensed Practical Nurse

549 COX RD
GASTONIA, NC 28054

Gaston County (704) 865-1558

MARY-JACQUELINE DELORES KERSEY LCSWA

Counselor (Addiction (Substance Use Disorder))

549 COX RD
GASTONIA, NC 28054

Gaston County (704) 332-9001

DR. LYSSA MARIE ISRAEL PH.D.

Psychologist (Clinical)

549 COX RD
GASTONIA, NC 28054

Gaston County (704) 852-3778

MS. LASHAWN COOLEY LCSWA

Social Worker (Clinical)

549 COX RD
GASTONIA, NC 28054

Gaston County (704) 865-1558

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 Olatokunbo Soyode-etomi's NPI number?

The NPI number for Olatokunbo Soyode-etomi is 1326132804. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Olatokunbo Soyode-etomi located?

Olatokunbo Soyode-etomi practices at 549 Cox Rd, Gastonia, NC 28054. The listed phone number is (704) 865-1558.

What is Olatokunbo Soyode-etomi's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Olatokunbo Soyode-etomi enrolled in Medicare?

Yes. Olatokunbo Soyode-etomi is registered in the Medicare PECOS enrollment system.

What insurance does Olatokunbo Soyode-etomi accept?

Health plans from Blue Cross and Blue Shield of NC list Olatokunbo Soyode-etomi 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 Olatokunbo Soyode-etomi was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.