Taiwo Afolashade Ajose, M.D

Individual provider Active NPI Gastroenterology Physician · Covington, GA

NPI 1316472467 · NPPES record last updated Oct 3, 2024

Key facts

NPI
1316472467
Entity type
Individual (NPI type 1)
Primary specialty
Gastroenterology Physician 207RG0100X
License
86525 (GA)
Practice address
4181 Hospital Dr NE Ste 202
Covington, GA 30014-2541
Phone
(770) 385-4291
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Gastroenterology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLC (526 clinicians)

Practice addresses (Care Compare)

4181 Hospital Dr NE
Suite 303
Covington, GA 30014-2541
Phone (770) 787-6957

Hospital & facility affiliations

  • Piedmont Newton Hospital Hospital · Covington, GA · CCN 110018
  • Piedmont Athens Regional Medical Center Hospital · Athens, GA · CCN 110074
  • Piedmont Rockdale Hospital Hospital · Conyers, GA · CCN 110091

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100 (apm)
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy57
Upper gastrointestinal (GI) endoscopy for acid reflux72

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240726000504 GA Practitioner - Gastroenterology 2062823263 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC Internal Medicine Current
since Jul 9, 2024
Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

4181 Hospital Dr NE
Ste 303
Covington, GA 30014
Phone (770) 787-6957

4181 Hospital Dr NE
Ste 202
Covington, GA 30014
Phone (770) 385-4291

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

Interoperability endpoints

  • Direct secure messaging: taiwo.ajose.1@18358.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 86525 GA
Gastroenterology Physician 207RG0100X 86525 GA Yes

Addresses

Primary practice location

4181 Hospital Dr NE Ste 202
Covington, GA 30014-2541

Mailing address

4181 Hospital Dr NE Ste 202
Covington, GA 30014-2541

Other practice location 1

720 Westview Drive SW
Atlanta, GA 30310
Phone (404) 756-1368

Other providers in Covington, GA

All providers in Covington, GA · Gastroenterology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.