OMOLARA B KUTEYI (NPI# 1780648568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780648568 |
| Entity Type | Individual |
| Full Name | OMOLARA B KUTEYI |
| Credential | M.D. |
| Practice Address |
3546 Covington Hwy Ste C Decatur GA 30032-1823 |
| Mailing Address |
1262 Emma Jean Pl Sw Marietta GA 30064-3798 |
| Practice Telephone | 4042847744 |
| Practice Fax Number | 4042848006 |
| Mailing Telephone | 4042847744 |
| Mailing Fax Number | 4042848006 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2011-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 053776 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 774394819C | 05 | |
| GA | PEACHSTATE | 774394819B | 01 |
| GA | WELLCARE | 319682 | 01 |
| GA | PHYSICIAN LICENSE | 053776 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 200819 | 01 |
| GA | AMERIGROUP | 10040207 | 01 |
| GA | 774394819D | 05 | |
| GA | RAILROAD | P00183443 | 01 |
| Street Address |
3546 COVINGTON HWY STE C |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073574083 | Jimmy Lee Gregory | Podiatrist | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2006-03-29 |
| 1578773750 | Jimmy L. Gregory Dpm, Inc | Podiatrist | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-05-23 |
| 1235343088 | Omolara Kuteyi Md, Inc | Family Medicine | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-05-10 |
| 1487778957 | James Washington Alexander | Ophthalmology | 3546 Covington Hwy, Suite A, Decatur, GA 30032-1850 | 2007-03-19 |
| 1942352778 | Covington Family Care and Specialty Group | Clinic/Center | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-01-18 |
| 1396898144 | Terri Morton Acker | Family Medicine | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170817 | Health-e LLC | Family Medicine | 1466 Country Squire Dr, Decatur, GA 30033-2414 | 2018-10-18 |
| 1548772536 | D'neka Colzie | Family Medicine | 2663 Easterly Pl, Decatur, GA 30035-4004 | 2017-10-30 |
| 1356862551 | Amruta Dutia | Family Medicine | 102 W Kenwood Ave Ste 102, Decatur, IL 62526-4380 | 2017-06-28 |
| 1962938043 | Atlanta Functional & Integrative Medicine | Family Medicine | 2786 N Decatur Rd, Decatur, GA 30033-5928 | 2017-05-10 |
| 1194179341 | Alexander Bryant Mcqueen | Family Medicine | 2422 Danville Rd Sw Ste E, Decatur, AL 35603-4221 | 2016-04-13 |
| 1609259969 | Vitale Medical Inc | Family Medicine | 3290 Memorial Dr Ste B1, Decatur, GA 30032-3400 | 2015-07-06 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1881036879 | Brigitte B. Nahmias | Family Medicine | 114 Mckoy St, Decatur, GA 30030-4346 | 2013-07-19 |
| 1275976094 | Zachary James Shipp | Family Medicine | 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 | 2013-04-11 |
| 1790023497 | Philip Henry Sharkey | Family Medicine | 4666 E Powers Blvd, Decatur, IL 62521-2549 | 2013-01-30 |
| Find all providers in DECATUR | ||||
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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.