MS. TINUOLA OMONIYI ANDRE (MD) – Internal Medicine Physician, NPI 1083238448

MS. TINUOLA OMONIYI ANDRE (MD) is a healthcare provider. based in Athens, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 95863 (GA). The NPI Number for MS. TINUOLA OMONIYI ANDRE (MD) is 1083238448

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. TINUOLA OMONIYI ANDRE (MD)
NPI
1083238448
Phone
Not provided
Address
1199 PRINCE AVE
Enumeration Date
2 June 2020
Deactivation Date
18 January 2022
Reactivation Date
2 February 2022
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064757055
Graduation Year
2007 (19 years ago)
PAC ID
5991177305
Group Practice PAC ID
0648520841
Professional Enrollment ID
I20230824001094
Address ID
GA306062789AT1270XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,425 INTERNAL MEDICINE in GA

Provider Addresses for MS. TINUOLA OMONIYI ANDRE (MD)

  • 1199 PRINCE AVE

    #70

    ATHENS, GA 30606

    Phone:

    Type: Mailing

  • 1270 PRINCE AVE

    SUITE 201

    ATHENS, GA 30606

    Phone: (706) 475-7055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Inari Medical, Inc. ($41).

Total Amount

$132

General + Research + Ownership

Payments

7

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230824001094IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648520841View full group profile
NameSpecialtyState
Nurse PractitionerGA
Internal MedicineGA
Pediatric Medicine, Internal MedicineGA
-GA
Nurse PractitionerGA
Internal MedicineGA
Family PracticeGA
Internal MedicineGA
Internal MedicineGA
Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. TINUOLA OMONIYI ANDRE (MD)?
NPI 1083238448 is assigned to MS. TINUOLA OMONIYI ANDRE (MD) under the national enumeration system.
Is MS. TINUOLA OMONIYI ANDRE (MD) currently active in the NPI registry?
CMS-published data lists MS. TINUOLA OMONIYI ANDRE (MD) as an active registrant.
What kind of provider is MS. TINUOLA OMONIYI ANDRE (MD)?
The page reflects Internal Medicine Physician for MS. TINUOLA OMONIYI ANDRE (MD). Clinical services aligned with this taxonomy classification.
Where is MS. TINUOLA OMONIYI ANDRE (MD)'s primary listing?
We display Athens, Georgia because that is what the record indicates for MS. TINUOLA OMONIYI ANDRE (MD).
Is MS. TINUOLA OMONIYI ANDRE (MD) a real provider?
This page reflects official NPPES data for NPI 1083238448. Always confirm identity and privileges with the practice and licensing boards.

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