Adedoyin Olusola Ademiluyi, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Macon, GA
NPI 1104765361 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1104765361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 380 Hospital Dr Ste 430
Macon, GA 31217-8017 - Phone
- (478) 751-0367
- NPI assigned
- Mar 25, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | GA | Yes |
Addresses
Primary practice location
380 Hospital Dr Ste 430
Macon, GA 31217-8017
Mailing address
380 Hospital Dr Ste 430
Macon, GA 31217-8017
Phone (478) 751-0367
Other providers in Macon, GA
- Tara Shannon Adams
- Olufunke M Adebayo
- Adeoluwa Paul Adegbosin
- Elizabeth Omeche Adejo
- Adeyinka Charles Adejumo
- Adebola Adekunle Adeogun
- James Michael Adkins
- Lauren Aaron Adkinson
- Leyikun Eshetu Admite
- India Adside
All providers in Macon, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.