P Praxis·MD
● Active Type 1 · Individual

Omolara B Kuteyi, M.D.

Family Medicine·Decatur, GA· NPI 1780648568 · Enumerated 2006 · 20 years on NPI
Kuteyi is 1 of 99 family medicine providers in Decatur and 1 of 5448 in Georgia.
NPI age
20 years
Enumerated 2006-04-17
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
3546 Covington Hwy, Ste C
Decatur, GA 300321823
📞 4042847744fax 4042848006
Mailing address
1262 Emma Jean Pl Sw
Marietta, GA 300643798
📞 4042847744fax 4042848006

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #053776 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (GA) 053776 PHYSICIAN LICENSE
01 (GA) 10040207 AMERIGROUP
01 (GA) 200819 BLUE CROSS BLUE SHIELD
01 (GA) 774394819B PEACHSTATE
01 (GA) P00183443 RAILROAD
05 (GA) 774394819C
05 (GA) 774394819D
01 (GA) 319682 WELLCARE

Practice context

Part of a multi-provider practice. 5 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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