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Olubansile Mimiko, M.D.
NPI 1336239177 · Specialist · Eastman, GA
Olubansile Mimiko, M.D. is a Specialist provider in Eastman, GA (NPI 1336239177).
Provider details
- NPI number
- 1336239177
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 050663 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
521 Griffin Ave
Eastman, GA 31023-6712
Phone: (478) 374-4128
Street-level locationGet directions
Mailing address
P O Box 4128
Eastman, GA 31023-4128
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is Olubansile Mimiko's NPI number?
- Olubansile Mimiko's National Provider Identifier (NPI) is 1336239177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Olubansile Mimiko's specialty?
- Olubansile Mimiko is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Olubansile Mimiko located?
- Olubansile Mimiko's practice location on file with NPPES is 521 Griffin Ave, Eastman, GA 31023-6712.
- What is Olubansile Mimiko's phone number?
- The practice phone number listed in the NPPES registry for Olubansile Mimiko is (478) 374-4128.
- Is Olubansile Mimiko's NPI active?
- Yes — Olubansile Mimiko's NPI (1336239177) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.