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OLASUMBO OLUWAKEMI DADA
NPI 1477806461
Nurse Practitioner - Adult Health in Ft. Moore, GA

Active since October 16, 2012PECOS Enrolled
MACH, 6600 VAN AALST BLVD, FT. MOORE, GA 31905(719) 231-9213 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olasumbo Oluwakemi Dada NPPES

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

OLASUMBO OLUWAKEMI DADA (NPI 1477806461) is an individual adult health provider in Ft. Moore, Georgia, licensed in Georgia (RN186907) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477806461
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameOLASUMBO OLUWAKEMI DADA
Location AddressMACH, 6600 VAN AALST BLVDFt. Moore, GA 31905
Mailing Address30 Meadow Valley CtMidland, GA 31820-4393 · (719) 231-9213
Phone(719) 231-9213
Sole ProprietorNo
Enumeration DateOctober 16, 2012
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 7, 2025
✔ NPI 1477806461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN186907
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN186907 (GA)
MACH, Ft. Moore, GA 31905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olasumbo Oluwakemi Dada 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 31905 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Olasumbo Dada's NPI number?

The NPI number for Olasumbo Dada is 1477806461. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Olasumbo Dada located?

Olasumbo Dada practices at Mach 6600 Van Aalst Blvd, Ft. Moore, GA 31905. The listed phone number is (719) 231-9213.

What is Olasumbo Dada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Olasumbo Dada enrolled in Medicare?

Yes. Olasumbo Dada is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olasumbo Dada was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.