Adekemi Oluseun Adedeji, D.O.
Individual provider Active NPI Hospitalist Physician · Cumming, GA
NPI 1386949261 · NPPES record last updated Jan 19, 2017
Key facts
- NPI
- 1386949261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 066237 (GA)
- Practice address
- 1200 Northside Forsyth Dr
Cumming, GA 30041-7659 - Phone
- (770) 844-3200
- Fax
- (404) 851-6325
- NPI assigned
- Jan 24, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Professional Services LLC
Practice addresses (Care Compare)
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200
Hospital & facility affiliations
- Northside Hospital Forsyth
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
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 |
|---|---|---|---|---|
| I20111019000750 | GA | Practitioner - Hospitalist |
1456523356 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66237 | GA | MD | Internal Medicine Physician |
| OT012704 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Hospitalist | Current |
Accepting new patients |
| Dekalb Medical Hospitalists LLC | Hospitalist | Past | Accepting new patients |
| Northside Hospital, Inc. | Past | Accepting new patients |
Locations
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT012704 | PA | |
| Internal Medicine Physician | 207R00000X | 66237 | GA | |
| Hospitalist Physician | 208M00000X | 066237 | GA | Yes |
Addresses
Primary practice location
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Mailing address
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003114062I | Medicaid | GA |
Other providers in Cumming, GA
- Nicole Acheampong
- Laura P. Adams
- Madison Adams
- Randi Adams
- Shelby Adams
- Oluwatoyin Omolade Adedeji
- Nicholas Aderibigbe
- Megan Elizabeth Adkins
- Sima Adlakha
- Caroline Pilgrim Adobah
All providers in Cumming, 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 Jan 19, 2017. 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.