NPI age
19 years
Enumerated 2006-10-13
● Active
Type 1 · Individual
Olubansile A Mimiko, M.D.
Mimiko is 1 of 5 specialist providers in Eastman and 1 of 1881 in Georgia.
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1881 active specialist providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
521 Griffin Ave
Eastman, GA 310236712
Mailing address
P O Box 4128
Eastman, GA 310234128
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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