Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modupeoluwa Babalola

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619530888

Modupeoluwa Babalola is a Psychiatry in Gainesville, Georgia. Graduated from Medical College of Georgia School of Medicine in 2020, 6 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1075 Jesse Jewell Pkwy SE Ste B
Gainesville, GA 30501-3827
Phone: (770) 219-5407
Fax: (770) 219-7102
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 E 66th St, Savannah, GA 31405-4519 — (912) 662-0088

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 10818 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 10818 (GA)

Record details

NPI number1619530888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 29, 2025
Mailing address601 E 66th St, Savannah, GA 31405-4519

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gainesville