Active NPI
Samson Adewale, MD
- Family Medicine Physician
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 92679
- Practice address
- 2009 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-2612 - Phone
- (404) 644-3747
- NPI assigned
- May 23, 2018
- Last updated
- Jan 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 92679 | GA | |
| Emergency Medicine Physician | 207P00000X | 33902 | OK | |
| Emergency Medicine Physician | 207P00000X | MD.43245 | AL | |
| Family Medicine Physician | 207Q00000X | MD.43245 | AL | |
| Family Medicine Physician | 207Q00000X | 33902 | OK | |
| Family Medicine Physician | 207Q00000X | 92679 | GA | Primary |
Addresses
Primary practice location
2009 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-2612
Mailing address
257 Lawrence St NE Unit 571
Marietta, GA 30061-2309
Phone (404) 644-3747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Oklahoma Communities
Practice addresses (Care Compare)
1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132
200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone (770) 537-5851
801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111
Hospital & facility affiliations
- Coosa Valley Home Health, an Amedisys
- Seasons Care Hospice, LLC
- Wellstar Kennestone Regional Medical Center
- Higgins General Hospital
- Upson Regional Medical Center
- Wellstar Cobb Medical Center
- Mercy Hospital Ardmore, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.43245 | AL | MD | Emergency Medicine Physician |
| 33902 | OK | MD | Emergency Medicine Physician |
| 92679 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Island Medical Alabama LLC | Emergency Medicine | Current | Accepting new patients |
| Independence Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Immh Scottsboro LLC | Emergency Medicine | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| Hightower Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Seasons Care Hospice LLC | Family Medicine | Past | Accepting new patients |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 538-0244
1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496
380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
1170 Cleveland Ave
Ste 100
East Point, GA 30344
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- sadewale2992907@carolinashealthcaresystem.direct-ci.com
- samson.adewale.1@27988.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Seasons Care Hospice LLC | Hospice | Contracted Managing Employee (100%) | Jun 4, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Conyers, GA
- NPI 1326823923
Contracted Managing Employee
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Thomaston, GA
- NPI 1790285815
-
- Emergency Medicine Physician
- Bremen, GA
- NPI 1164458832
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
-
- Emergency Medicine Physician
- Scottsboro, AL
- NPI 1558762393
-
- Emergency Medicine Physician
- Cullman, AL
- NPI 1104097666
-
- Emergency Medicine Physician
- Perry, GA
- NPI 1467873547
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Community Based Hospice Care Agency
- Conyers, GA
- NPI 1326823923
Family Medicine
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coosa Valley Home Health, an Amedisys Company
- Home Health Agency
- Rome, GA
- NPI 1285682955
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Community Based Hospice Care Agency
- Conyers, GA
- NPI 1326823923
-
dba Tanner Health System
- Critical Access Hospital
- Bremen, GA
- NPI 1194712083
-
dba Upson Regional Medical Center
- General Acute Care Hospital
- Thomaston, GA
- NPI 1659376630
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1346731635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 LAWRENCE ST NE UNIT 571",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300612309",
"telephone_number": "404-644-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 LAWRENCEVILLE SUWANEE RD STE 100",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242612",
"telephone_number": "404-644-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEWALE",
"first_name": "SAMSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "92679",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "33902",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "MD.43245",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD.43245",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "33902",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "92679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
- Marlen Adames, LPC
- Leslie Adams, PHARM.D.
- Margaret Adams, APRN
- William A Adams, LPC
- Alexis Adeojo, PA-C
- Charlotte Adhiambo, RBT
- Adult Services of Gwinnett
- Advance Care Medical Georgia, Inc. (Advance Care Medical Suwanee GA)
- Advance Care Medical PCP Georgia, Inc. (Advance Care Medical Suwanee GA)
- Advance Laparoscopic Surgery Institute, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.