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OLUWATOMILOLA OLUWAPELUMI MAKINDE MD
NPI 1972466712
Family Medicine in Canton, GA

Active since December 08, 2025PECOS EnrolledAccepts Medicare Assignment
1495 HICKORY FLAT HWY STE 100, CANTON, GA 30115(678) 341-6360(678) 626-7900 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2026, Dec 8, 2025 (2 updates tracked since 2025).

About Oluwatomilola Oluwapelumi Makinde Md NPPES

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

OLUWATOMILOLA OLUWAPELUMI MAKINDE MD (NPI 1972466712) is an individual family medicine provider in Canton, Georgia, licensed in Georgia (104967) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1972466712
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameOLUWATOMILOLA OLUWAPELUMI MAKINDECredential: MD
Location Address1495 HICKORY FLAT HWY STE 100Canton, GA 30115-4266
Mailing AddressPo Box 117598Atlanta, GA 30368-7598 · (770) 442-1911 · Fax (770) 442-0306
Phone(678) 341-6360
Fax(678) 626-7900
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 8, 2025
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1972466712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 104967
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1495 HICKORY FLAT HWY STE 100, Canton, GA 30115
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Other Names 1

Professional Name (2)Oluwatomilola Oluwapelumi Dada Md

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 ›

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

Oluwatomilola Oluwapelumi Makinde Md 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 ID5294208864
PECOS Enrollment IDI20260624005119
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 Oluwatomilola Makinde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Medical Group, P.C.
15 mi
Family Medicine
3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 240 clinicians in this Medicare group
NPI 1235296054 (770) 442-1911

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 30115 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.

Other Providers at the Same Location NPPES 8

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

JEFFREY CRAIG STONE MD
Family Medicine
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
MR. JARED K ROBINSON PA-C
Family Medicine
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
MRS. SANDRA E DECONZA PA-C
Physician Assistant (Medical)
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
CYNTHIA MOORE BRANDON APRN, FNP-BC
Nurse Practitioner
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
MICHAELA MARIE SEJDIC PA
Physician Assistant
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (770) 442-1911
MADISON O'BRIEN
Physician Assistant
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (770) 442-1911
ASHLEY PRITCHETT SIMMS NP-C
Nurse Practitioner
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
MYSTICAL EVANS FNP-C
Nurse Practitioner (Family)
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360

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 Oluwatomilola Makinde's NPI number?

The NPI number for Oluwatomilola Makinde is 1972466712. It was assigned to this individual provider in the NPPES registry on December 8, 2025. The provider is also known as Oluwatomilola Oluwapelumi Dada MD.

Where is Oluwatomilola Makinde located?

Oluwatomilola Makinde practices at 1495 Hickory Flat Hwy Ste 100, Canton, GA 30115. The listed phone number is (678) 341-6360.

What is Oluwatomilola Makinde's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Oluwatomilola Makinde enrolled in Medicare?

Yes. Oluwatomilola Makinde 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 organization bills Medicare for Oluwatomilola Makinde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwatomilola Makinde reassigns Medicare benefits to Southeast Medical Group, P.C. (Alpharetta, 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 Oluwatomilola Makinde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oluwatomilola Makinde accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Oluwatomilola Makinde 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 Oluwatomilola Makinde was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.