Individual provider Active NPI

Nihinlolawa Oreoluwa Ijamakinwa, M.D.

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1174843833
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69012 Issued in GA
Practice address
1625 Ridenour Blvd NW Ste 305
Kennesaw, GA 30152-4467
Phone
(470) 826-5015
Fax
(770) 209-2941
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 69012 GA Primary

Addresses

Primary practice location

1625 Ridenour Blvd NW Ste 305
Kennesaw, GA 30152-4467

Mailing address

2481 George Busbee Pkwy NW
Kennesaw, GA 30144-4961
Phone (770) 423-0000

Other names 1

  • Lola Adegunle 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012001271 GA Practitioner - Family Practice 8426284571 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

1625 Ridenour Blvd NW
Suite 305
Kennesaw, GA 30152-4467
Phone (470) 681-9400

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69012GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Ga PC CurrentSince Jan 1, 2025 Accepting new patients
Qcpi-Villagemd, PC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Capital Healthcare PC CurrentSince Sep 15, 2021 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Northside Primary Care Professional Services,LLC Family Medicine Past Accepting new patients

Locations

3540 Cobb Pkwy NW
Acworth, GA 30101
Phone (770) 974-3911

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

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

3425 Buford Dr
Ste 200
Buford, GA 30519
Phone (678) 546-0200

49 Hosiery Mill Rd
Ste 124
Dallas, GA 30157
Phone (770) 443-6111

9390 The Landing Dr
Douglasville, GA 30135
Phone (770) 947-1112

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

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

590 Lanier Ave W
Fayetteville, GA 30214

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

1625 Ridenour Blvd NW
Ste 305
Kennesaw, GA 30152
Phone (470) 826-5015

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

1625 Ridenour Blvd NW
#205
Kennesaw, GA 30152

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000

Interoperability endpoints

  • Direct secure messaging: nihinlolawa.ijamakinwa.1@21533.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1174843833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444961",
            "telephone_number": "770-423-0000",
            "fax_number": "770-423-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RIDENOUR BLVD NW STE 305",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524467",
            "telephone_number": "470-826-5015",
            "fax_number": "770-209-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAMAKINWA",
        "first_name": "NIHINLOLAWA",
        "middle_name": "OREOLUWA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "69012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOLA",
            "last_name": "ADEGUNLE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.