Individual provider Active NPI

Olufemi Bunmi Aina, MBBS

  • Hospitalist Physician
  • Braselton, GA
National Provider Identifier
1356690671
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
078554 Issued in GA
Practice address
1400 River PL
Braselton, GA 30517-5600
Phone
(770) 848-8000
NPI assigned
Aug 31, 2012
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 078554 GA
Hospitalist Physician 208M00000X 078554 GA Primary

Addresses

Primary practice location

1400 River PL
Braselton, GA 30517-5600

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

442 E 96th St
apt 2F
Brooklyn, NY 11212-2534
Phone (817) 317-1478

Other practice location 2

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

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
I20170828003600 GA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 6800169798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arunas Urbonas MD PLLCGroup PAC ID 7719936665, 5 clinicians

Practice addresses (Care Compare)

2922 N Oak St
Suite a
Valdosta, GA 31602-1718
Phone (229) 247-1414

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Merit-based Incentive Payment System (MIPS)

Final score
72.55 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
86.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arunas Urbonas MD PLLC CurrentSince Jul 1, 2019 Accepting new patients
Apogee Medical Group Georgia Inc Internal Medicine CurrentSince Jun 25, 2017 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

701 N Hutchinson Ave
Adel, GA 31620
Phone (229) 896-4529

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

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

2922 N Oak St
Ste A
Valdosta, GA 31602
Phone (229) 247-1414

3564 N Crossing Cir
Ste A
Valdosta, GA 31602
Phone (229) 249-3222

506 N Patterson St
Valdosta, GA 31601
Phone (229) 219-0099

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

Organizations & group practices 3

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 8

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1356690671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 RIVER PL",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175600",
            "telephone_number": "770-848-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 E 96th St",
            "address_2": "apt 2F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112122534",
            "country_code": "US",
            "telephone_number": "817-317-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1412 Milstead Ave NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123877",
            "country_code": "US",
            "telephone_number": "770-918-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AINA",
        "first_name": "OLUFEMI",
        "middle_name": "BUNMI",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "078554",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "078554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

Verify at the official NPI Registry.