NPI age
18 years
Enumerated 2007-12-04
● Active Type 2 · Organization
Mobolaji Shalom Oyebanjo, Inc
Mobolaji Shalom Oyebanjo, Inc is 1 of 1678 psychiatry & neurology organizations in Georgia.
Primary specialty
Psychiatry & Neurology
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Oyebanjo
Provider
Last NPPES update
2012-10-03
Source: monthly bulk 2026-05
How this organization compares
Across 1678 active psychiatry & neurology providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 30% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
307 Old Stone Rd
Villa Rica, GA 301801214
Mailing address
307 Old Stone Rd
Villa Rica, GA 301801214
Authorized official
Mobolaji Oyebanjo, MD
Provider
📞 7704598799
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Jason Fordyce, PMHNP-BC Nurse Practitioner NPI 1346816865
- Larry Fuller, M.A. Counselor NPI 1700209327
- Mardeea Jartu, LPC Counselor NPI 1760932685
- Omobolaji Oyebanjo Popoola, MD Psychiatry & Neurology NPI 1578754503
- April Thomas, LPC Counselor NPI 1881967677
Specialties
-
Psychiatry & Neurology PrimaryA 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...
-
Clinic/CenterDefinition to come...
-
Family MedicineFamily 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...
-
Psychiatry & NeurologyAddiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 327161185A | |
| 05 (GA) | 327161185B |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Potter Behavioral Medicine Clinic
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1678 Psychiatry & Neurology 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 organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.