Individual provider Active NPI

Moji Demi Ariyo, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1124174776
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
051905 Issued in GA
Practice address
875 Johnson Ferry Rd NE
Atlanta, GA 30342-1418
Phone
(404) 778-6100
Fax
(404) 778-6160
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 051905 GA Primary

Addresses

Primary practice location

875 Johnson Ferry Rd NE
Atlanta, GA 30342-1418

Mailing address

3720 Roxwood Park Dr
Buford, GA 30518-8511
Phone (678) 357-3822

Other identifiers 1

IdentifierTypeStateIssuer
051905OtherGALICENSE

Other names 1

  • Mojisola Arowosegbe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070606000025 GA Practitioner - Internal Medicine 2365540986 Reassigns benefits to 1 organization
I20240513002779 AL Practitioner - Internal Medicine 2365540986 Reassigns benefits to 1 organization
I20250217000023 FL Practitioner - Internal Medicine 2365540986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince Feb 10, 2025 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince May 1, 2007 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
The Emory Clinic Pediatric Providers Past Accepting new patients
Southeast Medical Group, P.C. PastSince Sep 12, 2022 Accepting new patients
Priority Primary Care Internal Medicine Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1806 Fairview Ave
Dothan, AL 36301
Phone (334) 677-5986

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1259 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 938-1908

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124174776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 ROXWOOD PARK DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188511",
            "telephone_number": "678-357-3822",
            "fax_number": "404-778-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 JOHNSON FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421418",
            "telephone_number": "404-778-6100",
            "fax_number": "404-778-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIYO",
        "first_name": "MOJI",
        "middle_name": "DEMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "051905",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOJISOLA",
            "last_name": "AROWOSEGBE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.