Individual provider Active NPI

Paul Adedoyin, M.D.

  • Radiation Oncology Physician
  • Huntington, WV
National Provider Identifier
1265888762
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
30516 Issued in WV
Practice address
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Phone
(304) 399-6610
Fax
(304) 399-6621
NPI assigned
May 13, 2016
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 30516 WV Primary

Addresses

Primary practice location

1400 Hal Greer Blvd
Huntington, WV 25701-4114

Mailing address

1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 399-6610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Paul.Adedoyin@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20211213002190 WV Practitioner - Radiation Oncology 1052606639 Reassigns benefits to 1 organization
I20241211000455 GA Practitioner - Radiation Oncology 1052606639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians

Practice addresses (Care Compare)

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 259-4291

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30516WVMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabell Huntington Hospital Inc CurrentSince Sep 13, 2021 Accepting new patients
South Georgia Medical Center Inc Student in an Organized Health Care Education/Training Program Current Accepting new patients
South Georgia Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Cabell Huntington Hospital Inc Current Accepting new patients
South Georgia Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Sep 13, 2021 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Past Accepting new patients

Locations

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1400 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-6610

Interoperability endpoints

  • Direct secure messaging: paul.adedoyin@marshall.cernerdirect.com

Organizations & group practices 7

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 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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1265888762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013804",
            "telephone_number": "304-399-6610",
            "fax_number": "304-399-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014114",
            "telephone_number": "304-399-6610",
            "fax_number": "304-399-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDOYIN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "30516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Paul.Adedoyin@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1400 Hal Greer Blvd",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257014114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.