Edward Ajayi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

037935 Issued in GA

Practice address

1850 Lake Park Dr SE
Suite 218
Smyrna, GA 30080-7647

Phone

(770) 438-1030

Fax

(770) 438-1125

NPI assigned

Jul 31, 2006

Last updated

Feb 27, 2019By 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 2

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Behavioral Associates, LLCGroup PAC ID 4880675750, 2 clinicians

Douglas County Community Services BoardGroup PAC ID 0143653014, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Apex Behavioral Associates, LLC

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1710154893
  Medicare reassignment Care Compare group NPD
• Douglas County Community Services Board

  • Community/Behavioral Health Agency
  • Douglasville, GA
  • NPI 1720128879
  Medicare reassignment Care Compare group NPD
• Fulton County Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1437299625
  NPD (past)
• Fulton County Mhddad

  dba West Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1285700682
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1285649707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAKE PARK DR SE",
            "address_2": "SUITE 218",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807647",
            "telephone_number": "770-438-1030",
            "fax_number": "770-438-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LAKE PARK DR SE",
            "address_2": "SUITE 218",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807647",
            "telephone_number": "770-438-1030",
            "fax_number": "770-438-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5905 Stewart Pkwy",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301352371",
            "country_code": "US",
            "telephone_number": "770-949-8082",
            "fax_number": "678-391-2918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "37935",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "037935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000630858C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abimbola Olayemi Agbaere
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• Ahs Anesthesia LLC
• Kristine Aibangbee
• Ajueyitsi Holdings Inc (D & B Pharmacy)
• Lydia Al-Awabdy
• Alberto Reinaldo Alam-Gonzalez, M.D.
• Bruce Albert, LCSW
• Hannah Isabel Alexander

• Psychiatry Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.