Individual provider Active NPI

Bamidele A Ajibola, MD

  • Hospitalist Physician
  • Florence, SC
National Provider Identifier
1669644589
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
064745 Issued in GA
Practice address
805 Pamplico Hwy
Florence, SC 29505-6047
Phone
(843) 674-2500
NPI assigned
Apr 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 244096 NC
Hospitalist Physician 208M00000X 81916 SC
Internal Medicine Physician 207R00000X 064745 GA
Hospitalist Physician 208M00000X 064745 GA Primary
Hospitalist Physician 208M00000X 58481 TN

Addresses

Primary practice location

805 Pamplico Hwy
Florence, SC 29505-6047

Mailing address

PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200

Other identifiers 1

IdentifierTypeStateIssuer
NC4397MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101116000257 GA Practitioner - Internal MedicinePractitioner - Hospitalist 4082809009 Reassigns benefits to 11 organizations
I20191113002824 NC Practitioner - Internal Medicine 4082809009 Reassigns benefits to 1 organization
I20210201001471 SC Practitioner - Hospitalist 4082809009 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Georgia Hospital Medicine Physicians LLCGroup PAC ID 7618459058, 14 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 255-7500

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 722-9011

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (828) 456-7311

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
244096NCMDHospitalist Physician
81916SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Jun 10, 2021 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
Tift Regional Health System Inc Internal Medicine CurrentSince Jun 14, 2017 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Internal Medicine CurrentSince Feb 8, 2019 Accepting new patients
Allatoona Physician Services PC Hospitalist CurrentSince Dec 19, 2022 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Oct 1, 2012 Accepting new patients
Carolina Family Care, Inc Internal Medicine CurrentSince Jun 10, 2021 Accepting new patients
Musc Community Physicians CurrentSince Jan 31, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Sep 1, 2020 Accepting new patients
Musc Community Physicians Internal Medicine Current Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Oct 1, 2012 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Jan 31, 2022 Accepting new patients
Hilton Head Regional Physician Group LLC Internal Medicine CurrentSince Dec 5, 2024 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Oct 1, 2019 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Dec 5, 2024 Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 14, 2017 Accepting new patients
Apogee Medical Group Georgia Internal Medicine CurrentSince Oct 15, 2016 Accepting new patients
Emory Specialty Associates, LLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Gwinnett Medical Group, Inc Internal Medicine Past Accepting new patients
Dekalb Medical Hospitalists LLC Hospitalist Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations (25 of 35)

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

2675 N Decatur Rd
Ste 408
Decatur, GA 30033
Phone (404) 501-7100

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1669644589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603898",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603898",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056047",
            "telephone_number": "843-674-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIBOLA",
        "first_name": "BAMIDELE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "244096",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "81916",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "064745",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "064745",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "58481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC4397",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.