MODUPEOLUWA BABALOLA – Psychiatry Physician, NPI 1619530888

MODUPEOLUWA BABALOLA is a healthcare provider. based in Savannah, Georgia. specializing in PSYCHIATRY. They hold a License No. 10818 (GA). The NPI Number for MODUPEOLUWA BABALOLA is 1619530888

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MODUPEOLUWA BABALOLA
NPI
1619530888
Phone
(912) 662-0088
Address
601 E 66th St
Enumeration Date
15 April 2019
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7702199200
Graduation Year
2020 (6 years ago)
PAC ID
8426479387
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20230501002046
Address ID
GA305013814GA1075XNEXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

Provider Addresses for MODUPEOLUWA BABALOLA

  • 601 E 66th St

    Savannah, GA 314054519

    Phone: (912) 662-0088

    Type: Location

  • 22, American Walk, Wynnmeade, Peachtree City, Fayette County, Georgia, 30269, United States

    PEACHTREE CITY, GA 302695600

    Phone: (678) 327-1856

    Type: Mailing

  • 601, East 66th Street, Ridgewood, Kensington Park, Savannah, Chatham County, Georgia, 31405, United States

    SAVANNAH, GA 314054519

    Phone: (912) 662-0088

    Type: Location

  • 1075 JESSE JEWELL PKWY SE SUITE B

    GAINESVILLE, GA 305013827

    Phone: (770) 219-5407

    Fax: (770) 219-7102

    Type: Location

  • 601 E 66TH ST

    SAVANNAH, GA 314054519

    Phone: (912) 662-0088

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($18).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-08

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: 2023-05-01

PECOS data refreshed: 2026-05-27

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
I20230501002046IPsychiatryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31405)

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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: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

Does MODUPEOLUWA BABALOLA have a public NPI I can cite?
Public records show MODUPEOLUWA BABALOLA under NPI 1619530888.
Is MODUPEOLUWA BABALOLA's NPI status active today?
Active status means MODUPEOLUWA BABALOLA's NPI record is not deactivated in the public file.
How should patients interpret MODUPEOLUWA BABALOLA's specialty?
The extract shows Psychiatry Physician for MODUPEOLUWA BABALOLA. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MODUPEOLUWA BABALOLA?
MODUPEOLUWA BABALOLA is associated with Savannah, Georgia in the same public data insurers reference.
Can I export MODUPEOLUWA BABALOLA's record?
You can download the official NPPES record; we summarize key fields for readability.

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