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THE POTTER BEHAVIORAL MEDICINE CLINIC
NPI 1922280684
Psychiatry & Neurology - Psychiatry in Villa Rica, GA

Active since December 04, 2007
307 OLD STONE RD, VILLA RICA, GA 30180(770) 459-8799(770) 459-8919 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Potter Behavioral Medicine Clinic NPPES

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

THE POTTER BEHAVIORAL MEDICINE CLINIC (NPI 1922280684) is a healthcare organization registered as a psychiatry in Villa Rica, Georgia and active in the NPI registry since December 2007. The organization lists Mobolaji Oyebanjo, Provider, as its authorized official.

NPPES Registry Identity

NPI1922280684
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMOBOLAJI SHALOM OYEBANJO, INC
Location Address307 OLD STONE RDVilla Rica, GA 30180-1214
Mailing Address307 Old Stone RdVilla Rica, GA 30180-1214 · (770) 459-8799 · Fax (770) 459-8919
Phone(770) 459-8799
Fax(770) 459-8919
Organization SubpartNo
Authorized OfficialMobolaji OyebanjoProvider · (770) 459-8799
Enumeration DateDecember 4, 2007
Last NPPES UpdateOctober 3, 2012
✔ NPI 1922280684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
307 OLD STONE RD, Villa Rica, GA 30180
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Other Names 1

Doing Business AsThe Potter Behavioral Medicine Clinic

Other Identifiers 4

Medicare PIN511G700335GA
Medicaid327161185BGA
Medicare PIN26BDKGPGA
Medicaid327161185AGA

Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

MR. JASON FORDYCE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
307 OLD STONE RD
VILLA RICA, GA 30180
Carroll County (770) 459-8799
POTTERS HANDS INSTITUTE LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
307 OLD STONE RD
VILLA RICA, GA 30180
Carroll County (770) 459-8799
OMOBOLAJI OLUSEYI OYEBANJO POPOOLA MD
Psychiatry & Neurology (Addiction Psychiatry)
307 OLD STONE RD
VILLA RICA, GA 30180
Carroll County (770) 459-8799
LARRY DEWITT FULLER JR. M.A.
Counselor (Professional)
307 OLD STONE RD
VILLA RICA, GA 30180
Carroll County (770) 459-8799
MARDEEA JARTU LPC
Counselor (Professional)
307 OLD STONE RD
VILLA RICA, GA 30180
Carroll County (770) 459-8799

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 Mobolaji Shalom Oyebanjo, Inc's NPI number?

The NPI number for Mobolaji Shalom Oyebanjo, Inc is 1922280684. It was assigned to this organization in the NPPES registry on December 4, 2007. The provider is doing business as The Potter Behavioral Medicine Clinic.

Where is Mobolaji Shalom Oyebanjo, Inc located?

Mobolaji Shalom Oyebanjo, Inc is located at 307 Old Stone Rd, Villa Rica, GA 30180. The listed phone number is (770) 459-8799.

What is Mobolaji Shalom Oyebanjo, Inc's specialty?

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

What insurance does Mobolaji Shalom Oyebanjo, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mobolaji Shalom Oyebanjo, Inc 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 Mobolaji Shalom Oyebanjo, Inc was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.