Abayomi S Adediran, MD
Individual provider Active NPI Family Medicine Physician · Warsaw, NC
NPI 1063448231 · NPPES record last updated Nov 21, 2013
Key facts
- NPI
- 1063448231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2009-00701 (NC)
- Practice address
- 113 S Pine St
Warsaw, NC 28398-1924 - Phone
- (910) 293-7246
- Fax
- (910) 293-4183
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vidant Medical Group LLC
Practice addresses (Care Compare)
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
Hospital & facility affiliations
- Vidant Duplin Hospital
- Ecu Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20090609000271 | NC | Practitioner - Family Practice |
5294739900 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duplin General Hospital, Incorporated | Current |
Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| Duplin General Hospital Incorporated | Current |
Accepting new patients |
Locations
2310 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 847-6611
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
401 N Main St
#A
Kenansville, NC 28349
Phone (910) 296-0941
Interoperability endpoints
- aadediran23133@direct.ecuhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2009-00701 | NC | Yes |
Addresses
Primary practice location
113 S Pine St
Warsaw, NC 28398-1924
Mailing address
PO Box 634
Warsaw, NC 28398-0634
Phone (910) 293-7246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5912450 | Medicaid | NC |
Other providers in Warsaw, NC
All providers in Warsaw, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2013. 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.