NPI age
11 years
Enumerated 2014-10-21
● Active
Type 1 · Individual
Odianosen Idiahi Obadan, M.D
Obadan is 1 of 40 internal medicine providers in Lawrenceville and 1 of 562 in Georgia.
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
GA, WA, SC
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 562 active internal medicine providers in Georgia.
NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
3 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-10Enumerated in NPPES
2014
2026
Where they practice
Practice location
601 Professional Dr Ste 235a
Lawrenceville, GA 300467697
Mailing address
Po Box 5074
Sioux Falls, SD 571175074
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
14 Richland Medical Park Dr Ste 320
Columbia, SC 292036896
Location 3
105 W 8th Ave Ste 1000
Spokane, WA 992042327
Location 4
210 Medical Pavilion Dr
Raeford, NC 283769111
Location 5
1638 Owen Dr
Fayetteville, NC 283043424
Specialties
-
Internal Medicine PrimaryAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
-
Internal MedicineA 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 847347 |
Multi-state credentialing: Licensed in 3 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.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.