Dr Olufemi Abiodun Taiwo, MD | |
110 Braxton Ct, Fayetteville, GA 30214-1968 | |
(678) 610-7100 | |
(678) 610-7111 |
Full Name | Dr Olufemi Abiodun Taiwo |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 32 Years |
Location | 110 Braxton Ct, Fayetteville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225005598 | NPI | - | NPPES |
000973629B | Medicaid | GA | |
000973629A | Medicaid | GA | |
000973629C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 051606 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Behavioral Healthcare,p.c | 8628194057 | 2 |
Entity Name | Southern Behavioral Healthcare,p.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598732869 PECOS PAC ID: 8628194057 Enrollment ID: O20100923000196 |
Mailing Address | Practice Location Address |
---|---|
Dr Olufemi Abiodun Taiwo, MD 110 Braxton Ct, Fayetteville, GA 30214-1968 Ph: (678) 610-7100 | Dr Olufemi Abiodun Taiwo, MD 110 Braxton Ct, Fayetteville, GA 30214-1968 Ph: (678) 610-7100 |
Evan Mccarroll Johnson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 500d, Fayetteville, GA 30214 Phone: 770-506-5410 | |
Gary Bruce Lebendiger, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779 | |
Shaw Wendi Fortuchang, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 110 N Park Dr, Fayetteville, GA 30214 Phone: 770-376-6726 Fax: 770-376-6727 | |
Mr. Wallace Maxwell Green, PAC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1275 Highway 54 W, Ste.105, Fayetteville, GA 30214 Phone: 770-719-2965 Fax: 770-719-2963 | |
Dr. Ana Maria Cuebas, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 715 Bradley Dr, Fayetteville, GA 30214 Phone: 770-358-5252 | |
Mr. Virendra V Ranadive, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 115 Sumner Rd Fl 2, Fayetteville, GA 30214 Phone: 770-716-1562 Fax: 770-716-0145 |