Abdul-Faisal Olatunde Akesode, M.D
Individual provider Active NPI Hospitalist Physician · Macon, GA
NPI 1376799338 · NPPES record last updated Jun 12, 2018
Key facts
- NPI
- 1376799338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 61548 (GA)
- Practice address
- 777 Hemlock Street
MSC 117
Macon, GA 31201 - Phone
- (478) 633-7550
- Fax
- (478) 633-3235
- NPI assigned
- Aug 11, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoebe Physician Group Inc
Piedmont Hospitalist Physicians LLC
Practice addresses (Care Compare)
120 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
122 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
132 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000
Hospital & facility affiliations
- Piedmont Mountainside Hospital Inc
- Phoebe Sumter Medical Center
- Northside Hospital Cherokee
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090212000114 | GA | Practitioner - Hospitalist |
4688739352 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061548 | GA | MD | Internal Medicine Physician |
| 61548 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Internal Medicine | Current |
Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current |
Accepting new patients |
| Piedmont Hospitalist Physicians LLC | Internal Medicine | Current |
Accepting new patients |
| Adventist Health System Georgia Inc | Current |
Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current |
Accepting new patients |
| Piedmont Mountainside Hospital, Inc. | Past | Accepting new patients | |
| Cogent Healthcare of Macon, LLC | Internal Medicine | Past | Accepting new patients |
| Phoebe Sumter Medical Center, Inc. | Past | Accepting new patients | |
| Dekalb Medical Hospitalists LLC | Hospitalist | Past | Accepting new patients |
| Redmond Hospital Services LLC | Past | Accepting new patients |
Locations
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
2675 N Decatur Rd
Ste 408
Decatur, GA 30033
Phone (404) 501-7100
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
501 Redmond Rd NW
Fl 6
Rome, GA 30165
Phone (706) 368-8452
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Interoperability endpoints
- abdulfaisal.akesode@vista.gadirect.net
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- aakesode32361@direct.emory.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 061548 | GA | |
| Hospitalist Physician | 208M00000X | 61548 | GA | Yes |
Addresses
Primary practice location
777 Hemlock Street
MSC 117
Macon, GA 31201
Mailing address
5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064
Phone (615) 377-5667
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 585483063A | Medicaid | GA |
NPI Registry JSON
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1376799338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY",
"address_2": "SUITE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275064",
"telephone_number": "615-377-5667",
"fax_number": "888-241-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK STREET",
"address_2": "MSC 117",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-7550",
"fax_number": "478-633-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKESODE",
"first_name": "ABDUL-FAISAL",
"middle_name": "OLATUNDE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "061548",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "61548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "585483063A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
- Folarera Olanike Ajose-Adeogun
- Michelle Ajumobi
- Sarah Akbani
- Farooq Akbar
- Muhammad Sohail Akbar
- Aisha Akhtar
- Tyler Brice Akins
- Ahmad Al-Hajj
- Alan P Deese MD PC
- Chandra Nicole Albritton
All providers in Macon, GA · Hospitalist Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.