GEORGE OLAREWAJU (NPI# 1780135244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780135244 |
| Entity Type | Individual |
| Full Name | GEORGE OLAREWAJU |
| Credential | MA |
| Practice Address |
3676 Riverview Approach Ellenwood GA 30294-4255 |
| Practice Telephone | 6782372273 |
| Practice Fax Number | 8008540691 |
| Mailing Telephone | 6782372273 |
| Mailing Fax Number | 8008540691 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
3676 RIVERVIEW APPROACH |
| City | ELLENWOOD |
| State | GA |
| Zip Code | 30294-4255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124323 | Lula Varist Gholson | Counselor | Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 | 2019-10-04 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1891285243 | Ayana Aqila Thornton | Nurse Practitioner | 5654 Hosea Court, Ellenwood, GA 30294 | 2018-05-11 |
| 1346748837 | Kakethia S. Mack | Nurse Practitioner | 4124 Bosenberry Way, Ellenwood, GA 30294 | 2018-01-30 |
| 1851819312 | Tatiana Marcus | Prosthetist | 3895 Busby Mill Ct., Ellenwood, GA 30294 | 2017-09-05 |
| 1962944991 | Fairview Urgent Care, LLC | Clinic/Center | 4475 West Village Pkwy, Ellenwood, GA 30294 | 2016-11-08 |
| 1982006169 | Kristal Cure | Licensed Practical Nurse | 4057 Madiosn Court, Ellenwood, GA 30294 | 2014-09-19 |
| 1801233515 | 1st Class Learning and Performing Arts | Local Education Agency (LEA) | 5474 Platte Dr, Ellenwood, GA 30294 | 2013-06-04 |
| 1235480138 | Life Wellness Group of Atlanta | Home Delivered Meals | 145 Wilhemina Drive, Ellenwood, GA 30294 | 2012-10-02 |
| 1346548450 | William K Holley IIi | Counselor | 2732 Holly Berry Dr, Ellenwood, GA 30294 | 2011-03-14 |
| Find all providers in zip 30294 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
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|---|---|---|---|---|
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1033677737 | Assets of A King, LLC | Psychologist | 916 Maple Leaf Dr, Mcdonough, GA 30253-8083 | 2019-03-12 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1295156263 | Angelice Morgan | Psychologist | 506 Manchester Expressway, Columbus, GA 31904 | 2013-12-18 |
| 1982025045 | Amber Harrow | Psychologist | 506 Manchester Expy Ste A13and14, Columbus, GA 31904-6444 | 2013-12-17 |
| 1336358647 | Early Autism Project, Inc. | Psychologist | 5488 Chamblee Dunwoody Rd Ste 7, Dunwoody, GA 30338-4161 | 2007-05-22 |
| 1437290855 | Lowndes Advocacy Resource Center, Inc | Psychologist | 1646 E Park Ave, Valdosta, GA 31602-3413 | 2007-02-09 |
| 1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
| 1861998585 | Peachtree Pediatric Psychology, LLC | Psychologist | 750 Hammond Drive, Bldg 7, Ste 200, Atlanta, GA 30328 | 2018-04-02 |
| 1821480906 | Deloris Smalley | Psychologist | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2015-02-25 |
| 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.