NPIMap

Organization Active NPI

Adeyemi House PC

Doing business as South Atlantic Internal Medicine Associates

  • Internal Medicine Physician
  • Smyrna, GA
National Provider Identifier
1174931992
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADEYEMI HOUSE PC
Doing business as
South Atlantic Internal Medicine Associates
Practice address
4600 West Village PL SE
Ste 4011
Smyrna, GA 30080-9204
Phone
(404) 454-6785
Fax
(404) 537-1707
NPI assigned
Jul 24, 2014
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Olanrewaju Ladipo, MDNPI 1528363959
Title
Medical Director
Phone
(908) 400-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4600 West Village PL SE
Ste 4011
Smyrna, GA 30080-9204

Mailing address

3338 Peachtree Rd NE
Unit 802
Atlanta, GA 30326-1026
Phone (404) 454-6785

Other names 1

  • South Atlantic Internal Medicine Associates Doing business as

National Provider Directory

National Provider Directory

Locations

4600 West Village Pl SE
Ste 4011
Smyrna, GA 30080
Phone (404) 454-6785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1174931992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 PEACHTREE RD NE",
            "address_2": "UNIT 802",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261026",
            "telephone_number": "404-454-6785",
            "fax_number": "404-454-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 WEST VILLAGE PL SE",
            "address_2": "STE 4011",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300809204",
            "telephone_number": "404-454-6785",
            "fax_number": "404-537-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEYEMI HOUSE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "LADIPO",
        "authorized_official_first_name": "OLANREWAJU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-400-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Atlantic Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.