Individual provider Active NPI

Margaret Adofo, MD

  • Student in an Organized Health Care Education/Training Program
  • Elmira, NY
National Provider Identifier
1164845780
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
600 Roe Ave
Elmira, NY 14905-1629
Phone
(607) 442-1713
Fax
(770) 968-4358
NPI assigned
Feb 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN256346 GA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

600 Roe Ave
Elmira, NY 14905-1629

Mailing address

1331 Mount Zion Rd
Morrow, GA 30260-2357
Phone (770) 629-3217

Other names 1

  • Margaret Adofo Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031001161 GA Practitioner - Nurse Practitioner 1254653793 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Georgia Holding, LLC CurrentSince Dec 22, 2022 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Sep 24, 2016 Accepting new patients
Madison Emergency Group, PC Nurse Practitioner CurrentSince Aug 15, 2020 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Aug 20, 2017 Accepting new patients
Jencare Neighborhood Medical Center West End, LLC PastSince Aug 4, 2014 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

10905 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (770) 343-9898

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

3885 Mundy Mill Rd
Ste 114
Oakwood, GA 30566
Phone (678) 971-1892

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Interoperability endpoints

  • Direct secure messaging: madofo26630@direct.xtensys.com
  • Direct secure messaging: madofo73@keukafp.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1164845780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MOUNT ZION RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602357",
            "telephone_number": "770-629-3217",
            "fax_number": "770-968-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051629",
            "telephone_number": "607-442-1713",
            "fax_number": "770-968-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOFO",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN256346",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "ADOFO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.