OMOBOLAJI OLUSEYI OYEBANJO POPOOLA MD NPI 1578754503

NPI Information

  • NPI: 1578754503
  • Provider Name: OMOBOLAJI OLUSEYI OYEBANJO POPOOLA, MD
  • Classification: Psychiatry & Neurology - 2084P0802X
  • Specialization: Addiction Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 307 OLD STONE RD
    VILLA RICA, GA
    ZIP 30180
  • Phone: (770) 459-8799

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NPI Details

Omobolaji Oluseyi Oyebanjo Popoola, MD is an addiction psychiatry psychiatry neurology in Villa Rica, GA with 33 years of experience. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. Omobolaji Oluseyi Oyebanjo Popoola, MD NPI is 1578754503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

307 OLD STONE RD
VILLA RICA, GA
ZIP 30180-214
Phone: (770) 459-8799
Fax: (770) 459-8919

The NPI 1578754503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of psychological or neuropsychological test, first 30 minutes (HCPCS:96136)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 8/6/2007 and was last updated on 2/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction Medicine612567GEORGIANo
22084P0802XPsychiatry & NeurologyAddiction Psychiatry053509GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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