Active NPI
Michael Adeola, PA-C
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1013885185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13411
- Practice address
- 35 Collier Rd NW # 425
Atlanta, GA 30309-1613 - Phone
- (404) 902-6184
- NPI assigned
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13411 | GA | Primary |
Addresses
Primary practice location
35 Collier Rd NW # 425
Atlanta, GA 30309-1613
Mailing address
35 Collier Rd NW # 425
Atlanta, GA 30309-1613
Phone (404) 902-6184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13411 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1013885185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 COLLIER RD NW # 425",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091613",
"telephone_number": "404-902-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 COLLIER RD NW # 425",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091613",
"telephone_number": "404-902-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEOLA",
"first_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-29",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "13411",
"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 Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.