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

Olufunke E Fadoju, PA

Individual provider Physician Assistant · NPI 1831250455

Olufunke E Fadoju, PA is a Physician Assistant in Carrollton, Georgia. Graduated from Howard University College of Medicine in 2005, 21 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia and New Jersey.

Years since qualifying
21
Trained at
Howard University College of Medicine
Licensed in
GA, NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

705 Dixie St
Carrollton, GA 30117-3818
Phone: (678) 301-0636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6359 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00158100 (NJ)

Record details

NPI number1831250455
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESOctober 16, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Carrollton