OLADOTUN AKINTOMIDE (AA) – Anesthesiologist Assistant, NPI 1548400013

OLADOTUN AKINTOMIDE (AA) is a healthcare provider. based in Waycross, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. They hold a License No. 005527 (GA). The NPI Number for OLADOTUN AKINTOMIDE (AA) is 1548400013

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
OLADOTUN AKINTOMIDE (AA)
NPI
1548400013
Phone
(912) 338-6511
Address
410 DARLING AVE
Enumeration Date
24 February 2009
Last Update Date
24 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9193508114
Graduation Year
2008 (18 years ago)
PAC ID
2961551387
Group Practice PAC ID
5092720813
Professional Enrollment ID
I20200217001135
Address ID
NC276101231RA3000XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

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Provider Addresses for OLADOTUN AKINTOMIDE (AA)

  • 410, Darling Avenue, Waycross, Ware County, Georgia, 31501, United States

    DEPT OF ANESTHESIA

    WAYCROSS, GA 315015246

    Phone: (912) 338-6511

    Fax: (912) 338-6512

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2020-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090514000194IAnesthesiology AssistantGATBD
I20200217001135IAnesthesiology AssistantNCTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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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: 5092720813View full group profile
NameSpecialtyState
Anesthesiology AssistantDC
-NC
Certified Registered Nurse Anesthetist (Crna)TN
-NC
Certified Registered Nurse Anesthetist (Crna)NC
-NC
-TN
Certified Registered Nurse Anesthetist (Crna)VA
Physician AssistantNC
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

Is OLADOTUN AKINTOMIDE (AA) listed with a National Provider Identifier?
Yes — OLADOTUN AKINTOMIDE (AA) has NPI 1548400013 on file in the registry.
Active or inactive — what applies to OLADOTUN AKINTOMIDE (AA)?
You should see OLADOTUN AKINTOMIDE (AA) as active in CMS-hosted NPPES data.
What expertise is attributed to OLADOTUN AKINTOMIDE (AA)?
OLADOTUN AKINTOMIDE (AA)'s specialty line reads Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is OLADOTUN AKINTOMIDE (AA) located near Waycross?
OLADOTUN AKINTOMIDE (AA) currently maps to Waycross, Georgia in this extract.
When was this NPI issued?
Enumeration for OLADOTUN AKINTOMIDE (AA) is noted as February 24, 2009 where the registry provides it.

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