KEHINDE RAJI OLUMESI M.D.
NPI 1780062661
Dermatology in Lawrenceville, GA

Q: What is Kehinde Olumesi's NPI number?

The NPI number for Kehinde Olumesi is 1780062661. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Q: What is Kehinde Olumesi's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kehinde Olumesi was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 12, 2015PECOS EnrolledAccepts Medicare Assignment

85.66/100

CMS Quality Rating

771 OLD NORCROSS RD STE 260, LAWRENCEVILLE, GA 30046(770) 962-5040 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2022, Jul 2, 2020 (2 updates tracked since 2020).

On this page

About Kehinde Raji Olumesi M.d. NPPES

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

KEHINDE RAJI OLUMESI M.D. (NPI 1780062661) is an individual dermatology provider in Lawrenceville, Georgia, licensed in Georgia (76876) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2015).

NPPES Registry Identity

NPI1780062661

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameKEHINDE RAJI OLUMESICredential: M.D.

Location Address771 OLD NORCROSS RD STE 260Lawrenceville, GA 30046-4981

Mailing Address771 Old Norcross Rd Ste 260Lawrenceville, GA 30046-4981 · (770) 637-7662

Phone(770) 962-5040

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2015

Enumeration DateMay 12, 2015

Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration

NPPES CertifiedOctober 14, 2022

✔ NPI 1780062661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in GA · 76876

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

771 OLD NORCROSS RD STE 260, Lawrenceville, GA 30046

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kehinde Raji Olumesi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092094367

PECOS Enrollment IDI20200707001326

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 Reassignments

Medicare enrollment records show Kehinde Olumesi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Epiphany Dermatology Of Georgia, LLC

44 mi

Dermatology

874 LANIER AVE W STE 270
Fayetteville, GA 30214

Reassigned Medicare billing, Georgia enrollment
13 clinicians in this Medicare group

NPI 1265544357 (770) 251-5111

Epiphany Dermatology Of South Carolina LLC

109 mi

Dermatology

28 MEDICAL RIDGE DR
Greenville, SC 29605

Reassigned Medicare billing, South Carolina enrollment
14 clinicians in this Medicare group

NPI 1861565996 (864) 271-7440

Advanced Dermatology Of Georgia, LLC

163 mi

Dermatology

401 W 4TH AVE
Albany, GA 31701

Reassigned Medicare billing, Georgia enrollment
11 clinicians in this Medicare group

NPI 1184005068 (229) 883-1130

Schweiger Dermatology, PC

625 mi

Dermatology

420 FRONT ST
Elmer, NJ 08318

Reassigned Medicare billing, New Jersey enrollment
141 clinicians in this Medicare group

NPI 1104229392 (973) 878-0850

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

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

123 services102 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

99 services68 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

50 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

47 services34 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

44 services40 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

34 services33 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

33 services32 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

24 services19 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

23 services22 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

22 services12 patients

Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks 17314

This procedure involves removing growths from the trunk, arms, or legs. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any abnormalities. This aids in diagnosing and treating your condition effectively.

21 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

18 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services14 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.74

Promoting Interoperability

Improvement Activities

Cost

74.14

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.

CHARYA CHHAUV BY GOLDSMITH M.D.

Dermatology

771 OLD NORCROSS RD STE 260
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 962-5040

KENYATTA MIREKU MD

Dermatology

771 OLD NORCROSS RD STE 260
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 962-5040

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 Kehinde Olumesi's NPI number?

The NPI number for Kehinde Olumesi is 1780062661. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Kehinde Olumesi located?

Kehinde Olumesi practices at 771 Old Norcross Rd Ste 260, Lawrenceville, GA 30046. The listed phone number is (770) 962-5040.

What is Kehinde Olumesi's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kehinde Olumesi enrolled in Medicare?

Yes. Kehinde Olumesi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kehinde Olumesi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kehinde Olumesi reassigns Medicare benefits to 4 organizations: Epiphany Dermatology Of Georgia, LLC (Fayetteville, GA), Epiphany Dermatology Of South Carolina LLC (Greenville, SC), Advanced Dermatology Of Georgia, LLC (Albany, GA) and Schweiger Dermatology, PC (Elmer, NJ). Each 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 Kehinde Olumesi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kehinde Olumesi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kehinde Olumesi 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 Kehinde Olumesi was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.