Olasumbo Oluwakemi Dada, is a
Nurse Practitioner - Adult Health based in Ft. Moore, Georgia. Olasumbo Oluwakemi Dada is licensed to practice in Georgia (license number RN186907) and her current practice location is
Mach, 6600 Van Aalst Blvd, Ft. Moore, Georgia. She can be reached at her office (for appointments etc.) via phone at
(719) 231-9213.
NPI number for Olasumbo Oluwakemi Dada is 1477806461 and her current mailing address is 30 Meadow Valley Ct, Midland, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477806461.
Provider's Profile
| Full Name | Olasumbo Oluwakemi Dada |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Adult Health |
|---|
| Location | Mach, Ft. Moore, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477806461
- Provider Enumeration Date: 10/16/2012
- Last Update Date: 02/12/2025
Medical Identifiers
Medical identifiers for Olasumbo Oluwakemi Dada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477806461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | RN186907 (Georgia) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN186907 (Georgia) | Secondary |
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. Olasumbo Oluwakemi Dada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Olasumbo Oluwakemi Dada, 30 Meadow Valley Ct, Midland, GA 31820-4393 Ph: (719) 231-9213 | Olasumbo Oluwakemi Dada, Mach, 6600 Van Aalst Blvd, Ft. Moore, GA 31905 Ph: (719) 231-9213 |
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