Individual provider Active NPI

Akin Ogundipe, M.D.

  • Nephrology Physician
  • Marietta, GA
National Provider Identifier
1679577209
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
GA050237 Issued in GA
Practice address
55 Whitcher St NE
Ste 460
Marietta, GA 30060-1171
Phone
(770) 427-7389
Fax
(770) 427-2845
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 050237 GA
Nephrology Physician 207RN0300X GA050237 GA Primary

Addresses

Primary practice location

55 Whitcher St NE
Ste 460
Marietta, GA 30060-1171

Mailing address

55 Whitcher St NE
Ste 460
Marietta, GA 30060-1171
Phone (770) 427-7389

Other identifiers 21

IdentifierTypeStateIssuer
000918079VMedicaidGA
000918079PMedicaidGA
000918079BMedicaidGA
000918079SMedicaidGA
000918079EMedicaidGA
000918079FMedicaidGA
000918079TMedicaidGA
000918079UMedicaidGA
000918079YMedicaidGA
000918079KMedicaidGA
000918079MMedicaidGA
000918079NMedicaidGA
00918079AMedicaidGA
000918079CMedicaidGA
000918079GMedicaidGA
000918079LMedicaidGA
000918079OMedicaidGA
000918079DMedicaidGA
000918079RMedicaidGA
000918079HMedicaidGA
000918079QMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AKINOGUNDIPE@GEORGIAKID.ALLSCRIPTSDIRECT.NET

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
I20100823000261 GA Practitioner - NephrologyPractitioner - Internal Medicine 2668413097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Kidney Associates, Inc.Group PAC ID 1951399799, 16 clinicians

Practice addresses (Care Compare)

55 Whitcher St
Suite 460
Marietta, GA 30060-1171
Phone (770) 427-7389

55 Whitcher St NE
Suite 460
Marietta, GA 30060-1171

Hospital & facility affiliations

  • Fresenius Medical Care Acworth Dialysis facility, Acworth, GA, CCN 112849
  • Fresenius Kidney Care East Marietta Dialysis facility, Marietta, GA, CCN 852559
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Kennestone Inpatient Rehab Inpatient rehabilitation facility, Marietta, GA, CCN 11T035
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GA050237GAMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: akinogundipe@georgiakid.allscriptsdirect.net
  • Direct secure messaging: akin.ogundipe@gka.gadirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1679577209",
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        {
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            "address_purpose": "MAILING",
            "address_type": "DOM",
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            "address_2": "STE 460",
            "city": "MARIETTA",
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            "postal_code": "300601171",
            "telephone_number": "770-427-7389",
            "fax_number": "770-427-2845"
        },
        {
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            "telephone_number": "770-427-7389",
            "fax_number": "770-427-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDIPE",
        "first_name": "AKIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
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            "taxonomy_group": "",
            "desc": "Specialist",
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            "license": "050237",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
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        }
    ],
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    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AKINOGUNDIPE@GEORGIAKID.ALLSCRIPTSDIRECT.NET",
            "affiliation": "N",
            "address_1": "55 Whitcher St NE",
            "address_2": "Ste 460",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601171",
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    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.