Individual provider Active NPI

Adeniyi Caxton Babalola, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1497793970
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80177 Issued in GA
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

Updated by the provider on Jun 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101907124MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308002671 GA Practitioner - Internal Medicine 6608973474 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80177GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NMD Mso Operations LLC Internal Medicine CurrentSince Dec 21, 2025 Accepting new patients
Neighbormd of Atlanta LLC Internal Medicine CurrentSince Aug 30, 2024 Accepting new patients
Crosslinks Family Practice, LLC CurrentSince Aug 30, 2024 Accepting new patients
Neighbormd of Newnan LLC PastSince Nov 8, 2020 Accepting new patients
GCMD Medical Centers LLC Internal Medicine PastSince Jul 2, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.