P Praxis·MD
● Active Type 1 · Individual

Olufowobi Gbadebo, MD

Psychiatry & Neurology·Statesboro, GA· NPI 1205924289 · Enumerated 2006 · 19 years on NPI
Gbadebo is 1 of 1 psychiatry & neurology providers in Statesboro and 1 of 196 in Georgia.
NPI age
19 years
Enumerated 2006-10-11
Primary specialty
Psychiatry & Neurology
Plus 2 subspecialties
Licensed in
GA, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2010-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 196 active psychiatry & neurology providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
2
In the 55% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
116 Hill Pond Ln
Statesboro, GA 304580872
📞 9124891629
Mailing address
116 Hill Pond Ln
Statesboro, GA 304580872

Specialties

  • Psychiatry & Neurology Primary
    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
    GA license #054096 taxonomy 2084P0804X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    WI license #46201 taxonomy 208000000X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    GA license #054096 taxonomy 2084P0800X

Identifiers

TypeValueNotes
05 (WI) 32497000
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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