Active NPI
Adebayo A Akintobi, M.D., M.P.H.
- Family Medicine Physician
- Decatur, GA
National Provider Identifier
1154497626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 055081
- Practice address
- 5243 Snapfinger Woods Dr
Suite 104
Decatur, GA 30035-4000 - Phone
- (770) 981-5511
- Fax
- (770) 987-6928
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 055081 | GA | Primary |
Addresses
Primary practice location
5243 Snapfinger Woods Dr
Suite 104
Decatur, GA 30035-4000
Mailing address
2663 Easterly PL
Decatur, GA 30035-4004
Phone (770) 981-5511
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041117000644 | GA | Practitioner - Family Practice | 8022072388 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Matrix Rehabilitation-Georgia Inc
Practice addresses (Care Compare)
234 Jonesboro Rd
McDonough, GA 30253-3720
Phone (770) 954-9631
2663 Easterly PL
Decatur, GA 30035-4004
2663 Easterly Place
Decatur, GA 30035-1001
Phone (770) 981-5511
2663 Easterly Place
Decatur, GA 30035-4004
Hospital & facility affiliations
- Accentcare Home Health of Georgia
- Emory Hillandale Hospital
- Emory Decatur Hospital
- Piedmont Eastside Medical Center
- Emory University Hospital Midtown
- Emory University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055081 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Dekalb Family Physicians, LLC | Family Medicine | Current | Accepting new patients |
Locations
5243 Snapfinger Woods Dr
Ste 104
Decatur, GA 30035
Phone (404) 465-1933
2663 Easterly Pl
Decatur, GA 30035
Phone (770) 981-5511
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IACHAA/Endpoint/IACHAA
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Decatur, GA
- NPI 1992970925
Family Medicine, GA
-
- Physical Therapy Clinic/Center
- Carrollton, GA
- NPI 1376574764
-
- Physical Therapy Clinic/Center
- McDonough, GA
- NPI 1427089853
-
- Physical Therapy Clinic/Center
- Stockbridge, GA
- NPI 1518998970
-
- Physical Therapy Clinic/Center
- McDonough, GA
- NPI 1659302966
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roswell, GA
- NPI 1992736227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1154497626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2663 EASTERLY PL",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354004",
"telephone_number": "770-981-5511",
"fax_number": "770-987-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5243 SNAPFINGER WOODS DR",
"address_2": "SUITE 104",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354000",
"telephone_number": "770-981-5511",
"fax_number": "770-987-6928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINTOBI",
"first_name": "ADEBAYO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "055081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.