OMOTOLA OMOLAYO PA-C
NPI 1669129862
Physician Assistant in Atlanta, GA

Q: What is Omotola Omolayo's NPI number?

The NPI number for Omotola Omolayo is 1669129862. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Q: What is Omotola Omolayo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Omotola Omolayo was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 07, 2022PECOS Enrolled

652 BELLEMEADE AVE NW, ATLANTA, GA 30318(678) 705-8166 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2024, Mar 6, 2024, Feb 17, 2023 and 1 more (4 updates tracked since 2022).

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About Omotola Omolayo Pa-c NPPES

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

OMOTOLA OMOLAYO PA-C (NPI 1669129862) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (10744) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669129862

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameOMOTOLA OMOLAYOCredential: PA-C

Location Address652 BELLEMEADE AVE NWAtlanta, GA 30318-3102

Mailing Address652 Bellemeade Ave NwAtlanta, GA 30318-3102

Phone(678) 705-8166

Sole ProprietorYes

Enumeration DateMarch 7, 2022

Last NPPES UpdateApril 11, 20244 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1669129862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 10744

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

652 BELLEMEADE AVE NW, Atlanta, GA 30318

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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)

Omotola Omolayo Pa-c 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 30318 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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 6

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

DORINDA VERNITA EZELL FNP-C

Nurse Practitioner (Family)