Ademola Adebayo Opanuga, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0066352 Issued in GA

Practice address

6330 Primrose Hill CT
Norcross, GA 30092-4544

Phone

(404) 365-0160

Fax

(770) 903-0169

NPI assigned

Nov 3, 2008

Last updated

May 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, AL2 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 2

Specialty

Family Practice

Education

Morehouse School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: a.opanuga@direct.meditouchehr.com

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.

• Comprehensive Primary and Urgent Care LLC

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1770097719
  Medicare reassignment NPD
• Mip Medical Management

  dba Macon Medical Center

  • Pain Medicine Physician
  • Macon, GA
  • NPI 1376813451
  Medicare reassignment NPD
• Comprehensive Primary & Urgent Care of Alabama, LLC

  • Primary Care Clinic/Center
  • Athens, AL
  • NPI 1750997706
  Medicare reassignment NPD
• Atlanta Health Center PC

  • Pain Clinic/Center
  • Tucker, GA
  • NPI 1063110328
  NPD (past)
• Atlanta Institute of Medicine and Rehabilitation

  • Interventional Pain Medicine Physician
  • Atlanta, GA
  • NPI 1861473274
  NPD (past)
• Buckhead Institute of Medicine & Rehabilitation Inc.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1558702308
  NPD (past)
• Comprehensive Medical Clinic LLC

  • Clinic/Center
  • Norcross, GA
  • NPI 1235835968
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1255584355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769609",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768224",
            "telephone_number": "404-365-0160",
            "fax_number": "770-903-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 PRIMROSE HILL CT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924544",
            "telephone_number": "404-365-0160",
            "fax_number": "770-903-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPANUGA",
        "first_name": "ADEMOLA",
        "middle_name": "ADEBAYO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "0066352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA CLINIC, PC GROUP NPI #",
            "identifier": "1609816123",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003113063G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omnimed DME Inc
• One Eighty Chiropractic LLC
• One Health Research Clinic Atlanta LLC
• One Health Research Clinic, Inc
• Onespirit Chiropractic and Wellness Center, LLC
• Kimberly Kirk Openo, LAPC CMFT NCC
• Optimum Pain Management Center LLC
• Optum Palliative and Hospice Care, Inc. (Evercare Hospice, Inc.)
• Opulent Hospice and Palliative Care
• Katherine Ordonez-Fall, PA-C

• Family Medicine Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.