Individual provider Active NPI

Babatunde Tenitayo Fariyike, MD

  • Nephrology Physician
  • Thomaston, GA
National Provider Identifier
1265436760
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
037532 Issued in GA
Practice address
612 W Gordon St Ste a
Thomaston, GA 30286-3480
Phone
(706) 647-8065
Fax
(706) 647-8019
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 037532 GA Primary

Addresses

Primary practice location

612 W Gordon St Ste a
Thomaston, GA 30286-3480

Mailing address

PO Box 84
Thomaston, GA 30286-0002
Phone (706) 647-8065

Other identifiers 3

IdentifierTypeStateIssuer
582084278OtherGATAX ID
00572008AMedicaidGA
00572008BMedicaidGA

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
I20061218000204 GA Practitioner - Internal MedicinePractitioner - Nephrology 1456350651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babatunde Fariyike, M.D., LLCGroup PAC ID 9830260991, 2 clinicians
Upson County Hospital IncGroup PAC ID 8729075536, 11 clinicians

Practice addresses (Care Compare)

612 W Gordon St
Suite a
Thomaston, GA 30286-3480
Phone (706) 647-8065

691 S 8TH St
Griffin, GA 30224-4244
Phone (800) 366-3579

801 W Gordon St
Thomaston, GA 30286-3426
Phone 70664781111330

Hospital & facility affiliations

  • DaVita Thomaston Dialysis Dialysis facility, Thomaston, GA, CCN 112557
  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037532GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Babatunde Fariyike, M.D., LLC Nephrology CurrentSince Sep 1, 1993 Accepting new patients
Upson County Hospital Inc CurrentSince Oct 1, 2017 Accepting new patients
Upson County Hospital Inc CurrentSince Oct 1, 2017 Accepting new patients

Locations

691 S 8th St
Griffin, GA 30224
Phone (770) 227-7758

612 W Gordon St
Ste A
Thomaston, GA 30286
Phone (706) 646-4371

208 Cherokee Rd
Thomaston, GA 30286
Phone (706) 647-8065

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Interoperability endpoints

  • Direct secure messaging: babatunde.fariyike.1@18358.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCEGBA/Endpoint/HCEGBA

Organizations & group practices 3

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265436760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302860002",
            "telephone_number": "706-647-8065",
            "fax_number": "706-647-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W GORDON ST STE A",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863480",
            "telephone_number": "706-647-8065",
            "fax_number": "706-647-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIYIKE",
        "first_name": "BABATUNDE",
        "middle_name": "TENITAYO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "037532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582084278",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572008A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572008B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.