Ijele Adimora, MD

Individual provider Active NPI Hematology (Internal Medicine) Physician · Atlanta, GA

NPI 1144840281 · NPPES record last updated Aug 10, 2026

Key facts

NPI
1144840281
Entity type
Individual (NPI type 1)
Primary specialty
Hematology (Internal Medicine) Physician 207RH0000X
License
111947 (GA)
Practice address
550 Peachtree St NE
Atlanta, GA 30308-2212
Phone
(404) 686-4411
NPI assigned
Apr 18, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230914003007 MD Order and Referring Only - Hematology/Oncology
Practitioner - Hematology/Oncology
7315301975

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 111947 GA Yes

Addresses

Primary practice location

550 Peachtree St NE
Atlanta, GA 30308-2212

Mailing address

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone (404) 686-4411

Other providers in Atlanta, GA

All providers in Atlanta, GA · Hematology (Internal Medicine) Physician in Georgia

Sources for this page

Verify at the official NPI Registry.