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

Olushola Melanie Tiamiyu

Individual provider Physician Assistant · NPI 1215370697

Olushola Melanie Tiamiyu is a Physician Assistant in Hollis, New York. Qualified in 2012, 14 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
14
Licensed in
MA, NY
In the registry since
2013
Specialties on file
2

Practice location Address checks out

18613 Jamaica Ave 1st Fl
Hollis, NY 11423-2413
Phone: (404) 307-4981
Show map & directions

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

Additional practice locations (2)

  • 119 Belmont St, Worcester, MA 01605-2903 — (774) 443-7552
  • 55 Lake Ave N, Worcester, MA 01655-0002 — (774) 443-7552

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016490 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA95321 (MA)

Record details

NPI number1215370697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2013
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hollis