P Praxis·MD
● Active Type 1 · Individual

DR. Olumuyiwa Fatade, MD

Student in an Organized Health Care Education/Training Program·Atlanta, GA· NPI 1902487697 · Enumerated 2021 · 5 years on NPI
Fatade is 1 of 3310 student in an organized health care education/training program providers in Atlanta and 1 of 6569 in Georgia.
NPI age
5 years
Enumerated 2021-04-15
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 4 subspecialties
Licensed in
NJ, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6569 active student in an organized health care education/training program providers in Georgia.

NPI age
5 years
↑ 3 yr above median (2 yr)
State licenses
2 states
Top 99% — 0% of peers are multi-state
Subspecialties
2
In the 6% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Practice location
12 Executive Park Dr Ne Fl 5
Atlanta, GA 303292206
📞 4047785526
Mailing address
12 Executive Park Dr Ne Fl 5
Atlanta, GA 303292206
📞 4047785526

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X
  • Psychiatry & Neurology
    Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
    NJ license #25MA12657800GA license #103598 taxonomy 2084P0805X
  • Psychiatry & Neurology
    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 #103598NJ license #25MA12657800 taxonomy 2084P0800X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 211 new student in an organized health care education/training program providers have been added in Atlanta in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 6569 Student in an Organized Health Care Education/Training Program providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related