P Praxis·MD
● Active Type 1 · Individual

DR. Olufisayo Tayo Otusanya, M.B.CH.B

Internal Medicine·Stockbridge, GA· NPI 1336552785 · Enumerated 2014 · 11 years on NPI
Otusanya is 1 of 6 internal medicine providers in Stockbridge and 1 of 539 in Georgia.
NPI age
11 years
Enumerated 2014-06-03
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 539 active internal medicine providers in Georgia.

NPI age
11 years
↓ 7 yr below median (18 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
1
In the 60% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
135 N Park Pl Ste 200
Stockbridge, GA 302817209
📞 6782897960
Mailing address
135 N Park Pl Ste 200
Stockbridge, GA 302817209

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1400 Pelham Pkwy S, Jacobi Medical Center
Bronx, NY 104611138
📞 7189185640

Specialties

  • Internal Medicine Primary
    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
    GA license #84957 taxonomy 207RP1001X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    LA license #305582 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 4 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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