Organization Active NPI

Akin Ayeni MD and Associates Inc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Atlanta, GA
National Provider Identifier
1154081412
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
AKIN AYENI MD AND ASSOCIATES INC
Practice address
1870 The Exchange SE Ste 200
Atlanta, GA 30339-2021
Phone
(770) 829-7442
NPI assigned
Dec 28, 2021
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Akinlawon Ayeni, MDNPI 1821167149
Title
Owner
Phone
(770) 829-7442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X Primary

Addresses

Primary practice location

1870 The Exchange SE Ste 200
Atlanta, GA 30339-2021

Mailing address

1870 The Exchange SE Ste 20026
Atlanta, GA 30339-2036
Phone (770) 829-7442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WV, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220418001202 GA Part B Supplier - Clinic/Group Practice 9638566847 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20240318002855 WV Part B Supplier - Clinic/Group Practice 9638566847 Receives reassigned benefits from 1 practitioner
Practice locations: Comfort, WV
O20240716000079 NC Part B Supplier - Clinic/Group Practice 9638566847 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

1870 The Exchange SE
Ste 20026
Atlanta, GA 30339
Phone (770) 829-7442

1668 Mulkey Rd
Ste D4
Austell, GA 30106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1154081412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 THE EXCHANGE SE STE 20026",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392036",
            "telephone_number": "770-829-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 THE EXCHANGE SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392021",
            "telephone_number": "770-829-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKIN AYENI MD AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "AKINLAWON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-829-7442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.