Abimbola Abiodun, P.A.
Individual provider Active NPI Physician Assistant · Atlanta, GA
NPI 1487749867 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1487749867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 004583 (GA)
- Practice address
- 550 Peachtree St NE
Atlanta, GA 30308-2212 - Phone
- (404) 995-1573
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
- Emory University Hospital Midtown
- Emory University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005000019 | GA | Practitioner - Physician Assistant | 6608801089 | Reassigns benefits to 5 organizations |
| I20210112000046 | PA | Practitioner - Physician Assistant | 6608801089 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004583 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current |
Accepting new patients | |
| Tower Health Medical Group | Current |
Accepting new patients | |
| Linux Health Partners LLC | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current |
Accepting new patients | |
| The Emory Clinic Inc | Current |
Accepting new patients | |
| Emory Medical Care Foundation Inc | Current |
Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Interoperability endpoints
- aabiodun92661@direct.emory.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004583 | GA | Yes |
Addresses
Primary practice location
550 Peachtree St NE
Atlanta, GA 30308-2212
Mailing address
550 Peachtree St NE
Atlanta, GA 30308-2212
Phone (404) 995-1573
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047697566A | Medicaid | GA |
Other providers in Atlanta, GA
- Ability ABA Ga LLC
- Ability Healthcare of Ga LLC
- Ability Pro Therapy, LLC
- Ability Rehab, LLC
- Olayinka Abiodun-Ojo
- Nikita Abiwon
- Abl Chiropractic LLC.
- Priscilla Abladey
- Able Path Care & Staffing LLC
- Able Pelvic Physical Therapy LLC
All providers in Atlanta, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. 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.