Olusola Carlton Olawale, - Medicare Nurse Practitioner in Hampton, GA

Olusola Carlton Olawale, is a medicare enrolled "Nurse Practitioner - Primary Care" in Hampton, Georgia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Oconee Community Service Board, Inner Community Health and his current practice location is 1684 Thorn Ridge Trl, Hampton, Georgia. You can reach out to his office (for appointments etc.) via phone at (614) 599-3617.

Olusola Carlton Olawale is licensed to practice in Georgia (license number RN201539) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205327764.

Contact Information

Olusola Carlton Olawale,
1684 Thorn Ridge Trl,
Hampton, GA 30228
(614) 599-3617
(877) 779-5837

Map and Direction




Provider's Profile

Full NameOlusola Carlton Olawale
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location1684 Thorn Ridge Trl, Hampton, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olusola Carlton Olawale graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1205327764
  • Provider Enumeration Date: 05/21/2018
  • Last Update Date: 05/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5496005076
  • Enrollment ID: I20180830003632

Medical Identifiers

Medical identifiers for Olusola Carlton Olawale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205327764NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN201539 (Georgia)Secondary
363LP2300XNurse Practitioner - Primary Care RN201539 (Georgia)Primary
363LF0000XNurse Practitioner - Family RN201539 (Georgia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oconee Community Service Board10523924463
Inner Community Health872944185213

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Olusola Carlton Olawale allows following entities to bill medicare on his behalf.
Entity NameOconee Community Service Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295922128
PECOS PAC ID: 1052392446
Enrollment ID: O20100812000021
Entity NameInner Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891398541
PECOS PAC ID: 8729441852
Enrollment ID: O20230823000046

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olusola Carlton Olawale is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Olusola Carlton Olawale,
1684 Thorn Ridge Trl,
Hampton, GA 30228-6129

Ph: (614) 599-3617
Olusola Carlton Olawale,
1684 Thorn Ridge Trl,
Hampton, GA 30228

Ph: (614) 599-3617

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.