Individual provider Active NPI

Ismail Opeyemi Jimada, MD

  • Infectious Disease Physician
  • Roswell, GA
National Provider Identifier
1164848602
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
96098 Issued in GA
Practice address
11660 Alpharetta Hwy Ste 430
Roswell, GA 30076-3880
Phone
(770) 255-1069
Fax
(770) 255-1075
NPI assigned
Mar 7, 2014
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 3271759 ID
Infectious Disease Physician 207RI0200X 96098 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy Ste 430
Roswell, GA 30076-3880

Mailing address

1450 E a St Ste 1
Casper, WY 82601-2239
Phone (307) 234-8700

Other practice location 1

5966 W Curtisian Ave
Boise, ID 83704-8801
Phone (208) 302-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, ID, MI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20231213001366 GA Practitioner - Infectious Disease 9931464088 Reassigns benefits to 1 organization
I20250815002926 NC Practitioner - Infectious Disease 9931464088 Reassigns benefits to 2 organizations
I20250821003603 ID Practitioner - Infectious Disease 9931464088 Reassigns benefits to 1 organization
I20250925003089 MI Practitioner - Internal MedicinePractitioner - Infectious Disease 9931464088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Michigan University School of MedicineGroup PAC ID 7517113954, 76 clinicians
Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians
Infectious Disease Service of GeorgiaGroup PAC ID 3072564954, 10 clinicians

Practice addresses (Care Compare)

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 345-2974

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1165 Cedar Point Blvd
Cedar Point, NC 28584-1030

11660 Alpharetta Hwy
Suite 430
Roswell, GA 30076-3880
Phone (770) 255-1069

302 Medical Park CT
Morehead City, NC 28557-4346
Phone (252) 247-2013

3025 W Cherry LN
Meridian, ID 83642-8531

306 Medical Park CT
Morehead City, NC 28557-4346
Phone (252) 247-2101

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 247-2013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.87 of 100Reported as group
Quality
72.75
Promoting interoperability
100
Improvement activities
40
Cost
66.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Michigan University School of Medicine CurrentSince Jul 20, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Carteret Medical Group LLC CurrentSince Aug 10, 2025 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Jun 28, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 2, 2025 Accepting new patients
Infectious Disease Services of Georgia PC Infectious Disease CurrentSince Sep 16, 2023 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 2, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients

Locations

15 Reinhardt College Pkwy
Ste 102
Canton, GA 30114
Phone (678) 505-4455

15 Reinhardt College Pkwy
Ste 110A
Canton, GA 30114
Phone (770) 720-2383

11660 Alpharetta Hwy
Ste 430
Roswell, GA 30076
Phone (770) 255-1069

5966 W Curtisian Ave
Boise, ID 83704
Phone (208) 302-5450

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

302 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Interoperability endpoints

  • Direct secure messaging: drjimada@idsga.medentdirect.com
  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ijimada4358600@direct.trinity-health.org
  • Direct secure messaging: ismail.jimada.1@15484.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1164848602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E A ST STE 1",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012239",
            "telephone_number": "307-234-8700",
            "fax_number": "307-234-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 430",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763880",
            "telephone_number": "770-255-1069",
            "fax_number": "770-255-1075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5966 W Curtisian Ave",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048801",
            "country_code": "US",
            "telephone_number": "208-302-5450",
            "fax_number": "208-302-5495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMADA",
        "first_name": "ISMAIL",
        "middle_name": "OPEYEMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ID",
            "license": "3271759",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "96098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.