P Praxis·MD
● Active Type 1 · Individual

Olasumbo Oluwakemi Dada

Nurse Practitioner·Ft. Moore, GA· NPI 1477806461 · Enumerated 2012 · 13 years on NPI
Dada is 1 of 1 nurse practitioner providers in Ft. Moore and 1 of 806 in Georgia.
NPI age
13 years
Enumerated 2012-10-16
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 2 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-10Enumerated in NPPES
2012 2026

Where they practice

Practice location
MacH, 6600 Van Aalst Blvd
Ft. Moore, GA 31905
📞 7192319213
Mailing address
30 Meadow Valley Ct
Midland, GA 318204393
📞 7192319213

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN186907 taxonomy 363LA2200X
  • Nurse Practitioner
    Definition to come...
    GA license #RN186907 taxonomy 363LP0808X

Practice context

Solo or small practice. No 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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