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DR. OJORU OSUNKOYA MD
NPI 1679528491
Pediatrics in Clarkston, GA

Active since May 23, 2006PECOS Enrolled
4112 E. PONCE DE LEON, CLARKSTON, GA 30021(404) 296-7133 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ojoru Osunkoya Md NPPES

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

DR. OJORU OSUNKOYA MD (NPI 1679528491) is an individual pediatrics provider in Clarkston, Georgia, licensed in Georgia (059578) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679528491
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. OJORU OSUNKOYACredential: MD
Location Address4112 E. PONCE DE LEONClarkston, GA 30021
Mailing Address4112 E. Ponce De LeonClarkston, GA 30021 · (404) 296-7133
Phone(404) 296-7133
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1679528491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 059578✔ Licensed in OK · 23461
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.
4112 E. PONCE DE LEON, Clarkston, GA 30021
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Other Names 1

Former Name (1)Nee Idachaba Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ojoru Osunkoya 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.

Medicare Billing Reassignment

Medicare enrollment records show Ojoru Osunkoya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
8.3 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30021 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.

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 Ojoru Osunkoya's NPI number?

The NPI number for Ojoru Osunkoya is 1679528491. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Nee Idachaba MD.

Where is Ojoru Osunkoya located?

Ojoru Osunkoya practices at 4112 E. Ponce De Leon, Clarkston, GA 30021. The listed phone number is (404) 296-7133.

What is Ojoru Osunkoya's specialty?

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

Is Ojoru Osunkoya enrolled in Medicare?

Yes. Ojoru Osunkoya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ojoru Osunkoya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ojoru Osunkoya reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ojoru Osunkoya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ojoru Osunkoya was last updated on September 11, 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.