Active NPI
Adebola Oyekoya
- Family Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME121470
- Practice address
- 4651 Roswell Rd Ste D308
Atlanta, GA 30342-3055 - Phone
- (404) 947-4842
- Fax
- (404) 947-8244
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | ME121470 | FL | Primary |
Addresses
Primary practice location
4651 Roswell Rd Ste D308
Atlanta, GA 30342-3055
Mailing address
4651 Roswell Rd Ste D308
Atlanta, GA 30342-3055
Phone (404) 947-4842
Other practice location 1
144 South Ave SE
Marietta, GA 30060-2377
Phone (404) 947-4842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4651 Roswell Rd
Suite D308
Atlanta, GA 30342-3055
Phone (404) 445-0551
Hospital & facility affiliations
- Marietta Center for Nursing and Healing
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME121470 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Marietta Ga Opco LLC | Past | Accepting new patients |
Locations
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
Networks
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO D-SNP
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHFDCD/Endpoint/AHFDCD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1891280764
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Skilled Nursing Facility
- Marietta, GA
- NPI 1699494104
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1013273564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 ROSWELL RD STE D308",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423055",
"telephone_number": "404-947-4842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 ROSWELL RD STE D308",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423055",
"telephone_number": "404-947-4842",
"fax_number": "404-947-8244"
}
],
"practiceLocations": [
{
"address_1": "144 South Ave SE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300602377",
"country_code": "US",
"telephone_number": "404-947-4842",
"fax_number": "404-947-8244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OYEKOYA",
"first_name": "ADEBOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME121470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.