- Practice location
- 2150 Peachford RD Ste A, Atlanta, GA 30338-6521
- Phone
- 770-674-0553
- Fax
- 770-674-0554
- Last updated
- August 23, 2023
Olujimi Ayodele Adefisan is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Atlanta, GA. Olujimi Ayodele Adefisan practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Olujimi Ayodele Adefisan is 1790947216 and holds a License No. MT 185915 (PA). The current practice location address for Olujimi Ayodele Adefisan is 2150 Peachford RD Ste A, Atlanta, GA 30338-6521 and can be reached out via phone at 770-674-0553 and via fax at 770-674-0554.
Provider Profile Details
- NPI Number
- 1790947216
- Provider Name
- Olujimi Ayodele Adefisan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2150 Peachford RD Ste A, Atlanta, GA 30338-6521
- Phone Number
- 770-674-0553
- Fax Number
- 770-674-0554
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2008
- Last Update Date
- August 23, 2023
- Certification Date
- August 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2150 Peachford RD Ste A
Atlanta, GA 30338-6521 - City
- Atlanta
- State
- Georgia
- Zip
- 30338-6521
- Phone Number
- 770-674-0553
- Fax Number
- 770-674-0554
Provider Business Mailing Address Details
- Address
- 2150 Peachford RD Ste A
Atlanta, GA 30338-6521 - City
- Atlanta
- State
- GA
- Zip
- 30338-6521
- Phone Number
- 770-674-0553
- Fax Number
- 770-674-0554
License Information
- License Number (1)
- MT 185915
- License State (1)
- PA
- Taxonomy (1)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- License Number (2)
- 063623
- License State (2)
- GA
- Taxonomy (2)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Olujimi A Adefisan, MD?
The NPI number of Olujimi A Adefisan, MD is 1790947216. It was assigned on June 26, 2008 and is currently active in the NPPES registry.
What is the specialty of Olujimi A Adefisan, MD?
Olujimi A Adefisan, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in PA under license number MT 185915.
Where does Olujimi A Adefisan, MD practice?
The practice location is 2150 Peachford RD Ste A, Atlanta, GA 30338-6521. The office can be reached at 770-674-0553 (phone) or 770-674-0554 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790947216 directly on the NPPES registry website.