Olujimi Oluwole (NPI# 1306166178, PAC ID# 4880821016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1306166178 |
| PAC ID by PECOS | 4880821016 |
| Professional Enrollment ID | I20131216000470 |
| Full Name | Olujimi Oluwole |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
2890 Delk Serd Marietta GA 30067-5326 |
| Phone Number | 7709558620 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2890 Delk Serd, Marietta, GA 30067-5326 | 7709558620 | WELLSTAR MEDICAL GROUP, LLC |
| 4480 N Cooper Lake Serd, 101n, Smyrna, GA 30082-4623 | 7703332027 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
2890 DELK SERD |
| City | MARIETTA |
| State | GA |
| Zip | 30067-5326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leli G Matthews | Emergency Medicine | Wellstar Medical Group, LLC | 2890 Delk Serd, Marietta, GA 30067-5326 |
| Ebanga E Agbor | Nurse Practitioner | Wellstar Medical Group, LLC | 2890 Delk Serd, Marietta, GA 30067-5326 |
| Christopher L Stevens | Family Medicine | Wellstar Medical Group, LLC | 2890 Delk Serd, Marietta, GA 30067-5326 |
| Tyra Harris | Family Medicine | Wellstar Medical Group, LLC | 2890 Delk Serd, Marietta, GA 30067-5326 |
| Jing Jing W Harris | Family Practice | Wellstar Medical Group, LLC | 2890 Delk Serd, Marietta, GA 30067-5326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svathi M Reddy | Psychiatry | 1640 Powers Ferry Rd, Bldg 17 Suite 100, Marietta, GA 30067-1419 | |
| Piyush C Patel | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Jason M Jian | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Olajide Fawehinmi | Psychiatry | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Jasmine Young | Nurse Practitioner | Personal Recovery Network LLC | 1640 Powers Ferry, Suite 330, Marietta, GA 30067-1421 |
| Joan R Funk | Clinical Social Worker | 1640 Powers Ferry, Suite 100, Marietta, GA 30067-1437 | |
| Yolanda P Bowdre | Occupational Therapy | Dove Rehab LLC | 9 Sherwood Seln, Marietta, GA 30067-4035 |
| Fatima German | Physical Therapy | Dove Rehab LLC | 9 Sherwood Seln, Marietta, GA 30067-4035 |
| Ama Browne | Nurse Practitioner | Amity Care, LLC | 161 Village Pkwy Ne, Bldg 7, Marietta, GA 30067-4061 |
| Bessie Martin-jackson | Nurse Practitioner | Amity Care, LLC | 161 Village Pkwy Ne, Bldg 7, Marietta, GA 30067-4061 |
| Find all physicians in zip 30067 | |||
| City | MARIETTA |
| Zip Code | 30067 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARIETTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Olujimi Oluwole.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.