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

Individual provider Plastic Surgery Physician · NPI 1053766352

Olatomide T Familusi, MD is a Plastic and Reconstructive Surgery in Atlanta, Georgia. Qualified in 2016, 10 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6105 Peachtree Dunwoody Rd Ste C250
Atlanta, GA 30328-5942
Phone: (404) 857-4242
Fax: (404) 857-4617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 93753 (GA)

Record details

NPI number1053766352
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2016
Last updated in NPPESDecember 1, 2024
Certification dateDecember 1, 2024

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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