Afolake O Mobolaji, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

64805 Issued in GA

Practice address

1800 Howell Mill Rd NW Ste 275
Atlanta, GA 30318-3098

Phone

(404) 756-1290

NPI assigned

Aug 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morehouse Healthcare, Inc.Group PAC ID 6002701273, 155 clinicians

North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

Morehouse Medicine Inc.Group PAC ID 3779082631, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amobolaji2739708@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: drm@direct.meditouchehr.com
• Direct secure messaging: afolake.mobolaji.1@24920.direct.athenahealth.com

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.

• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324
  Medicare reassignment Care Compare group NPD
• Morehouse Medicine Inc.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1700673571

  Family Medicine

  Medicare reassignment Care Compare group NPD
• North Atlanta Professional Services LLC

  • Psychologist
  • Atlanta, GA
  • NPI 1316959869

  Hospitalist

  Medicare reassignment Care Compare group NPD
• Rophe Medics Clinic

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1720368814
  NPD (past) Authorized official
• St Paul Medical Inc

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1003150525
  NPD
• James a. Sexson, M.D. LLC

  • Internal Medicine Physician
  • Austell, GA
  • NPI 1225169071
  NPD (past)
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  NPD (past)
• Potters Hands Institute LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Villa Rica, GA
  • NPI 1386964690
  NPD (past)
• Ravens Nest Foundation Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austell, GA
  • NPI 1578867982
  NPD (past)
• The Baxley and Appling County Hospital Authority

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1073752143
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1144535576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183098",
            "telephone_number": "404-756-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBOLAJI",
        "first_name": "AFOLAKE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "064805",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "64805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104469G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104469K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Free Mobley, CCC-SLP
• Letitia McDowell Mobley, MD
• Robert E Mobley, MD
• Ronald Mobley Jr.
• Stacy Mobley
• Ireoluwa Mobolaji
• Modern Emergency Care, LLC
• Modern Emergent Care, LLC
• Modern Internal Medicine
• Modern Internal Medicine Urgent Care and Primary Care Inc

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.

Verify at the official NPI Registry.