Active NPI
Ebunoluwa Onafalujo, MD
- Internal Medicine Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 93659
- Practice address
- 745 Poplar Rd
Newnan, GA 30265-1618 - Phone
- (404) 367-3014
- NPI assigned
- May 9, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 93659 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 93659 | GA | Primary |
Addresses
Primary practice location
745 Poplar Rd
Newnan, GA 30265-1618
Mailing address
745 Poplar Rd
Newnan, GA 30265-1618
Phone (404) 367-3014
Other practice location 1
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-2030
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93659 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Hospitalist Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Piedmont Athens Hospitalist Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Piedmont Newnan Hospital, Inc. | Past | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients |
Locations
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
Internal Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1447749932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 POPLAR RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651618",
"telephone_number": "404-367-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 POPLAR RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651618",
"telephone_number": "404-367-3014"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-2030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONAFALUJO",
"first_name": "EBUNOLUWA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "93659",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "93659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.