Active NPI
Adeniyi Caxton Babalola, MD
- Internal Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 80177
- Practice address
- 285 Boulevard NE Ste 435
Atlanta, GA 30312-4213 - Phone
- (404) 222-9914
- NPI assigned
- Jun 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 80177 | GA | Primary |
Addresses
Primary practice location
285 Boulevard NE Ste 435
Atlanta, GA 30312-4213
Mailing address
107 Westward Dr Unit 661112
Miami Springs, FL 33266-0649
Phone (305) 321-5578
Other practice location 1
1475 Montreal Rd East
Tucker, GA 30084-6922
Phone (404) 222-9914
Other practice location 2
770 Greison Trl
Newnan, GA 30263-6408
Phone (404) 222-9914
Other practice location 3
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-5351
Other practice location 4
3885 Princeton Lakes Way SW Ste 412
Atlanta, GA 30331-5599
Phone (404) 222-9914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101907124 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80177 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMD Mso Operations LLC | Internal Medicine | Current | Accepting new patients |
| Neighbormd of Atlanta LLC | Internal Medicine | Current | Accepting new patients |
| Crosslinks Family Practice, LLC | Current | Accepting new patients | |
| Neighbormd of Newnan LLC | Past | Accepting new patients | |
| GCMD Medical Centers LLC | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of Pennsylvania, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
107 Westward Dr
Unit 661112
Miami Springs, FL 33266
285 Boulevard NE
Ste 435
Atlanta, GA 30312
Phone (404) 524-8950
2045 Peachtree Rd NE
Ste 310
Atlanta, GA 30309
Phone (305) 790-3775
1475 Montreal Rd
Tucker, GA 30084
Phone (770) 270-5085
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDHICD
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1902407752
-
- Family Medicine Physician
- Tucker, GA
- NPI 1295131530
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1114651379
-
- Internal Medicine Physician
- Woodstock, GA
- NPI 1679303226
-
- General Practice Physician
- Newnan, GA
- NPI 1861093718
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1831126176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1497793970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WESTWARD DR UNIT 661112",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "332660649",
"telephone_number": "305-321-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 BOULEVARD NE STE 435",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303124213",
"telephone_number": "404-222-9914"
}
],
"practiceLocations": [
{
"address_1": "1475 Montreal Rd East",
"address_purpose": "LOCATION",
"city": "Tucker",
"state": "GA",
"postal_code": "300846922",
"country_code": "US",
"telephone_number": "404-222-9914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "770 Greison Trl",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302636408",
"country_code": "US",
"telephone_number": "404-222-9914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1365 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303221013",
"country_code": "US",
"telephone_number": "404-778-5351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3885 Princeton Lakes Way SW Ste 412",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303315599",
"country_code": "US",
"telephone_number": "404-222-9914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BABALOLA",
"first_name": "ADENIYI",
"middle_name": "CAXTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "80177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101907124",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.