Olawole Ibiyinka Akinboboye, M.D.
Individual provider Active NPI Internal Medicine Physician · Augusta, GA
NPI 1154995397 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1154995397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 98261 (GA)
- Practice address
- 1350 Walton Way
Augusta, GA 30901-2612 - Phone
- (706) 774-5795
- NPI assigned
- May 13, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Hospitalist Physicians LLC
Practice addresses (Care Compare)
35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000
Hospital & facility affiliations
- Piedmont Augusta Hospital
- Wellstar MCG Health, Affiliated With Med Col
- University McDuffie County Regional Medical Center
- Aiken Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240801001691 | GA | Practitioner - Internal Medicine | 4284171745 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Hospitalist Physicians LLC | Internal Medicine | Current |
Accepting new patients |
| University Health Services,Inc | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 98261 | GA | |
| Internal Medicine Physician | 207R00000X | 98261 | GA | Yes |
Addresses
Primary practice location
1350 Walton Way
Augusta, GA 30901-2612
Mailing address
150 Westpark Drive
Apt 722
Athens, GA 30606
Other practice location 1
1199 Prince Ave #70
Athens, GA 30606
Phone (706) 475-7055
Other providers in Augusta, GA
- Olusola Zainab Ajala
- Zeeshan Ajmal
- Sara Khaled Akeel
- Divya Manasa Akella
- Sajid M Akhtar
- Martha Akinpelu
- Harold Thomas Akins Jr.
- James Zachary Akins
- Toni Akiti
- Blessing Adanna Chiamaka Akomas
All providers in Augusta, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.