Olatunji Awe, MD | |
200 Gulf Stream Rd., Garden City, GA 31418 | |
(912) 963-2506 | |
(912) 756-6966 |
Full Name | Olatunji Awe |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 33 Years |
Location | 200 Gulf Stream Rd., Garden City, 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 |
---|---|---|---|
1689737686 | NPI | - | NPPES |
00889611A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 047570 (Georgia) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 047570 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Evans Memorial Hospital | Claxton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southland Evans Emergency Medical Services Llc | 0143575852 | 13 |
Southland Evans Hospitalist Group Llc | 5799036182 | 10 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Entity Name | Southland Bainbridge Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
Entity Name | Southland Optim Screven Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
Entity Name | Southland Evans Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730697418 PECOS PAC ID: 0143575852 Enrollment ID: O20180621000703 |
Entity Name | Southland Evans Hospitalist Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467960146 PECOS PAC ID: 5799036182 Enrollment ID: O20180925000479 |
Mailing Address | Practice Location Address |
---|---|
Olatunji Awe, MD 164 Taylor Ct, Richmond Hill, GA 31324-5359 Ph: (912) 756-6966 | Olatunji Awe, MD 200 Gulf Stream Rd., Garden City, GA 31418 Ph: (912) 963-2506 |