OLIVIA T AGBOOLA
NPI 1568022671
Nurse Practitioner - Family in Mcdonough, GA

Active since June 20, 2019
135 HENRY PKWY, MCDONOUGH, GA 30253(770) 288-6155(770) 954-2269 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Olivia T Agboola NPPES

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

OLIVIA T AGBOOLA (NPI 1568022671) is an individual family provider in Mcdonough, Georgia, licensed in Georgia (RN209875) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1568022671
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLIVIA T AGBOOLA
Location Address135 HENRY PKWYMcdonough, GA 30253-6636
Mailing Address4001 S River LnEllenwood, GA 30294-3293 · (678) 357-6069
Fax(770) 954-2269
Sole ProprietorYes
Enumeration DateJune 20, 2019
NPI 1568022671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN209875
135 HENRY PKWY, Mcdonough, GA 30253

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Public Health, State or Local)
135 HENRY PKWY
MCDONOUGH, GA 30253
Nutritionist (Nutrition, Education)
135 HENRY PKWY
MCDONOUGH, GA 30253

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 Olivia Agboola's NPI number?

The NPI number for Olivia Agboola is 1568022671. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Olivia Agboola located?

Olivia Agboola practices at 135 Henry Pkwy, Mcdonough, GA 30253. The listed phone number is (770) 288-6155.

What is Olivia Agboola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Olivia Agboola was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.