Ibrahim Wiah Adamu, MD
Individual provider Active NPI Colon & Rectal Surgery Physician · Newnan, GA
NPI 1013238245 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1013238245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Colon & Rectal Surgery Physician 208C00000X
- License
- 067269 (GA)
- Practice address
- 710 Newnan Crossing Byp
Suite 200
Newnan, GA 30263-2384 - Phone
- (770) 400-7700
- NPI assigned
- Jun 22, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Providers LLC
Practice addresses (Care Compare)
775 Poplar Rd
Suite 230
Newnan, GA 30265-8305
Phone (770) 254-6089
Hospital & facility affiliations
- Piedmont Newnan Hospital, Inc
- Piedmont Fayette Hospital
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 15 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170411001690 | GA | Practitioner - General Surgery | 5991933103 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067269 | GA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current |
Accepting new patients | |
| Piedmont Specialty Hospital Billing LLC | Current |
Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
775 Poplar Rd
Ste 230
Newnan, GA 30265
Phone (770) 254-6089
710 Newnan Crossing Byp
Ste 200
Newnan, GA 30263
Phone (530) 477-4480
775 Poplar Rd
Ste 250
Newnan, GA 30265
Phone (770) 400-4610
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 067269 | GA | Yes |
Addresses
Primary practice location
710 Newnan Crossing Byp
Suite 200
Newnan, GA 30263-2384
Mailing address
710 Newnan Crossing Byp
Suite 200
Newnan, GA 30263-2384
Other providers in Newnan, GA
- Alexandra Maria Ackerman
- Peter Z Ackerson
- Adam Scientific Labs, LLC
- Alexis Adams
- Joseph Adams
- Olufunsho Adekunle
- Bamidele A Adesunloye
- Advanced Health and Wellness Center, Inc.
- Aegis Group Practice LLC
- Affinis Hospice, LLC
All providers in Newnan, GA · Colon & Rectal Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.