P Praxis·MD
● Active Type 1 · Individual

DR. Olugbemiga A. Osoba, M.D.

Psychiatry & Neurology·Peachtree Corners, GA· NPI 1578623443 · Enumerated 2006 · 19 years on NPI
Osoba is 1 of 3 psychiatry & neurology providers in Peachtree Corners and 1 of 1678 in Georgia.
NPI age
19 years
Enumerated 2006-12-11
Primary specialty
Psychiatry & Neurology
Plus 3 subspecialties
Licensed in
GA, TX, NJ, SC
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1678 active psychiatry & neurology providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
4 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
4028 Holcomb Bridge Rd Ste 204
Peachtree Corners, GA 300924600
📞 4049535348fax 8888626985
Mailing address
4780 Ashford Dunwoody Rd Ste 216a
Atlanta, GA 303385564
📞 4049535348fax 8888626985

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2000 Sam Rittenberg Blvd Ste 2011
Charleston, SC 294074631
📞 8437932104fax 8436544850

Specialties

  • Psychiatry & Neurology Primary
    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 #59300 taxonomy 2084P0800X
  • Psychiatry & Neurology
    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.
    TX license #M9561NJ license #25MA11605600SC license #83460 taxonomy 2084P0804X

Identifiers

TypeValueNotes
01 OO074832 CHAMPUS-CHAMPUS
01 7509104450 BLUE CROSS-BLUE CROSS
05 (GA) 974647115F
01 OO074832 COMMERCIAL-COMMERCIAL NUMBER
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

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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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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