MR. BOLAJI AREMU (NPI# 1205043288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205043288 |
| Entity Type | Individual |
| Full Name | MR. BOLAJI AREMU |
| Credential | PA-C |
| Practice Address |
Fci 2600 Hwy 301 South Jesup GA 31599-0001 |
| Mailing Address |
Po Box 721 Glennville GA 30427-0721 |
| Practice Telephone | 9124270870 |
| Practice Fax Number | 9124271250 |
| Mailing Telephone | 9126549006 |
| Mailing Fax Number | 9124271250 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
02870 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
FCI 2600 HWY 301 SOUTH |
| City | JESUP |
| State | GA |
| Zip Code | 31599-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598084311 | Nina Leah Watson | Pharmacist | 2600 Hwy 301 S, Jesup, GA 31599-0001 | 2010-05-18 |
| 1538291067 | William Frederic Corey | Psychologist | Psychology Services Dept, 2600 Hwy 301 South, Jesup, GA 31599-0001 | 2007-03-11 |
| 1295706166 | Shannon Bolling Ellis | Preventive Medicine | 2600 Hwy 301s, Jesup, GA 31599-5641 | 2006-01-30 |
| 1275938896 | Valerie Bagenski | Nurse Practitioner | 2600 Highway 301 S, Jesup, GA 31599-5676 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
| 1720628019 | Savannah Grace Mcdaniel | Specialist/Technologist | 4046 Holmesville Rd, Jesup, GA 31545-2045 | 2020-01-14 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1598300071 | Remeshia D Grant | Behavior Technician | 289 E Shellcracker Rd, Jesup, GA 31545-5667 | 2019-11-08 |
| 1003476128 | Ernest Knight Drugs, Inc | Pharmacy | 149 Nw Broad St, Jesup, GA 31545-1310 | 2019-06-20 |
| 1386201333 | People's Memorial Hospital | Family Medicine | 211 South Street West, Jesup, IA 50648 | 2019-05-24 |
| 1811459589 | Amber Michelle O'quinn | Specialist/Technologist | 250 Mellon St, Jesup, GA 31545-4716 | 2019-04-02 |
| 1881154045 | Hearts of Compassion Home Care Agency, Inc. | Religious Nonmedical Health Care Institution | 212 S 1st St Ste 4, Jesup, GA 31545-1137 | 2019-03-23 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| Find all providers in JESUP | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982828943 | Wayne Emergency Group LLC | Physician Assistant | 865 S 1st St, Jesup, GA 31545-0210 | 2007-04-12 |
| 1811042815 | Wynne Kendra Lott | Physician Assistant | 111 Colonial Way Ste 2, Jesup, GA 31545 | 2007-01-23 |
| 1467475657 | Kyle Steven Deuter | Physician Assistant | 110 Professional Ct, Jesup, GA 31545-0044 | 2006-07-26 |
| 1437188257 | Jonathan Paul Kiff | Physician Assistant | 999 S Macon St, Jesup, GA 31545-0240 | 2006-07-02 |
| 1699733832 | Jesup Emergency Services, LLC | Physician Assistant | 865 S 1st St, Jesup, GA 31545-0210 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.