DR. OLUMUYIWA FATADE MD
NPI 1902487697
Psychiatry & Neurology - Psychiatry in Gainesville, GA

Q: What is Olumuyiwa Fatade's NPI number?

The NPI number for Olumuyiwa Fatade is 1902487697. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Olumuyiwa Fatade's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Olumuyiwa Fatade was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 15, 2021PECOS Enrolled

743 SPRING ST NE, GAINESVILLE, GA 30501(770) 848-8448 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2026, Apr 15, 2021 (2 updates tracked since 2021).

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About Dr. Olumuyiwa Fatade Md NPPES

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

DR. OLUMUYIWA FATADE MD (NPI 1902487697) is an individual psychiatry provider in Gainesville, Georgia, licensed in Georgia (103598) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1902487697

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. OLUMUYIWA FATADECredential: MD

Location Address743 SPRING ST NEGainesville, GA 30501-3715

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 848-8448

Phone(770) 848-8448

Sole ProprietorNo

Enumeration DateApril 15, 2021

Last NPPES UpdateJune 10, 20262 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1902487697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in GA · 103598✔ Licensed in NJ · 25MA12657800

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 25MA12657800 (NJ), 103598 (GA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

743 SPRING ST NE, Gainesville, GA 30501

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Secondary Practice Location 1

Location 112 Executive Park Dr NE Fl 5Atlanta, GA 30329-2206 · Phone (404) 778-5526

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olumuyiwa Fatade 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 20

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

DARRYL E BLALOCK CRNA

Nurse Anesthetist, Certified Registered