Omobolaji Oluseyi Oyebanjo Popoola, MD in Villa Rica, GA

Omobolaji Oluseyi Oyebanjo Popoola, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Psychiatry" physician in Villa Rica, Georgia. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Psychiatry. Her current practice location is 307 Old Stone Rd, Villa Rica, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 459-8799.

Omobolaji Oluseyi Oyebanjo Popoola is licensed to practice in Georgia (license number 053509) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1578754503.

Contact Information

	Omobolaji Oluseyi Oyebanjo Popoola, MD
	307 Old Stone Rd, Villa Rica, GA 30180-1214
	(770) 459-8799
	(770) 459-8919

Map and Direction

Physician's Profile

Full Name	Omobolaji Oluseyi Oyebanjo Popoola
Gender	Female
Speciality	Psychiatry
Experience	11 Years
Location	307 Old Stone Rd, Villa Rica, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omobolaji Oluseyi Oyebanjo Popoola graduated from medical school in 2014

NPI Data:

NPI Number: 1578754503
Provider Enumeration Date: 08/06/2007
Last Update Date: 05/08/2025

Medicare PECOS Information:

PECOS PAC ID: 8820010986
Enrollment ID: I20060103000799

Medical Identifiers

Medical identifiers for Omobolaji Oluseyi Oyebanjo Popoola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578754503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	U8648 (Texas)	Secondary
2084P0802X	Psychiatry & Neurology - Addiction Psychiatry	053509 (Georgia)	Primary

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. Omobolaji Oluseyi Oyebanjo Popoola allows following entities to bill medicare on her behalf.

Entity Name	Mobolaji Shalom Oyebanjo, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922280684 PECOS PAC ID: 6204914401 Enrollment ID: O20080428000562

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. Omobolaji Oluseyi Oyebanjo Popoola 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 Address	Practice Location Address
Omobolaji Oluseyi Oyebanjo Popoola, MD 307 Old Stone Rd, Villa Rica, GA 30180-1214 Ph: (770) 459-8799	Omobolaji Oluseyi Oyebanjo Popoola, MD 307 Old Stone Rd, Villa Rica, GA 30180-1214 Ph: (770) 459-8799

Reviews and Comments

Psychiatry & Neurology Doctors in Villa Rica, GA

Dr. William Schneider, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 101 Quartz Dr Ste 103, Villa Rica, GA 30180 Phone: 770-812-3530 Fax: 770-812-3531
Phuongtam Nguyen, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 101 Quartz Dr Ste 103, Villa Rica, GA 30180 Phone: 770-812-3530 Fax: 770-812-3531
Charmaine Wilson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Quartz Dr Ste 103, Villa Rica, GA 30180 Phone: 770-812-3530
Dr. Randy T Warner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy Ste 201, Villa Rica, GA 30180 Phone: 678-840-8444
Dr. George W Bailey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 514 W Bankhead Hwy, Suite 400, Villa Rica, GA 30180 Phone: 770-456-2788 Fax: 770-456-2790
Ann Marie Decker Frederick, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 Fax: 770-812-3531
Dr. Yesha Mukesh Thakkar, D.O Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 630-873-9445

Omobolaji Oluseyi Oyebanjo Popoola, MD - Medicare Psychiatry in Villa Rica, GA