| Tiwalade Olawuyi, NP | |
|
811 Kennesaw Ave Nw, Marietta, GA 30060-1002 | |
| (770) 422-2451 | |
| (770) 499-8460 |
| Full Name | Tiwalade Olawuyi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 811 Kennesaw Ave Nw, Marietta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114212115 | NPI | - | NPPES |
| RN193864 | Other | GA | RN |
| RN193864NP | Other | GA | NP LICENSE |
| 003110136B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN193864NP (Georgia) | Primary |
| 363L00000X | Nurse Practitioner | 193864 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Villagehealth Dm Llc | 2769812445 | 132 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Shc Medical Partners Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639314057 PECOS PAC ID: 3375690118 Enrollment ID: O20130114000278 |
| Entity Name | Medical Director Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321 |
| Entity Name | Hardy Renew Wellness,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
| Entity Name | Villagehealth Dm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20210415001763 |
| Entity Name | Monogram Health Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255930228 PECOS PAC ID: 4880004183 Enrollment ID: O20210505003249 |
| Entity Name | Abode Care Partners Ltc Vb, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528837788 PECOS PAC ID: 8325316516 Enrollment ID: O20240117002610 |
| Entity Name | Synergy Rehab Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356100606 PECOS PAC ID: 1254773104 Enrollment ID: O20240523003443 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiwalade Olawuyi, NP 12201 Bluegrass Pkwy, Louisville, KY 40299-2361 Ph: (502) 568-7366 | Tiwalade Olawuyi, NP 811 Kennesaw Ave Nw, Marietta, GA 30060-1002 Ph: (770) 422-2451 |
Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602 | |
Donna Marie Liming, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064 Phone: 678-802-8665 Fax: 678-540-4250 | |
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 | |
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938 | |
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198 | |
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420 | |
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444 |