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

Mr. Adewale Anthony Oderinde, NP

Individual provider Nurse Practitioner · NPI 1376092247

Mr. Adewale Anthony Oderinde, NP is a Nurse Practitioner in Bonaire, Georgia. Qualified in 2015, 11 years ago. Practices with Central Georgia Emergency Group LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

503 Blue Bonnet Trl
Bonaire, GA 31005-3759
Phone: (478) 284-6452
Fax: (478) 225-6609
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN184424 (GA)

Record details

NPI number1376092247
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESOctober 3, 2016
Mailing address503 Blue Bonnet Trl, Bonaire, GA 31005-3759

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Central Georgia Emergency Group Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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