Individual provider Active NPI

Taiwo Afolashade Ajose, M.D

  • Gastroenterology Physician
  • Covington, GA
National Provider Identifier
1316472467
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
86525 Issued in GA
Practice address
4181 Hospital Dr NE Ste 202
Covington, GA 30014-2541
Phone
(770) 385-4291
NPI assigned
Apr 26, 2017
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

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

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

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
I20240726000504 GA Practitioner - Gastroenterology 2062823263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86525GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC Internal Medicine CurrentSince 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 202
Covington, GA 30014
Phone (770) 385-4291

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

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

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1316472467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE STE 202",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE STE 202",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "770-385-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Westview Drive SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30310",
            "country_code": "US",
            "telephone_number": "404-756-1368",
            "fax_number": "404-756-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJOSE",
        "first_name": "TAIWO",
        "middle_name": "AFOLASHADE",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "86525",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "86525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.