NPIMap

Individual provider Active NPI

Lawrence Adjetey Adjei, MD

  • Internal Medicine Physician
  • Rincon, GA
National Provider Identifier
1689637134
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
054201 Issued in GA
Practice address
131 Goshen Road Ext
Suite 300
Rincon, GA 31326-5589
Phone
(912) 826-0860
Fax
(855) 796-7071
NPI assigned
Apr 7, 2006
Last updated
Apr 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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 054201 GA Primary

Addresses

Primary practice location

131 Goshen Road Ext
Suite 300
Rincon, GA 31326-5589

Mailing address

131 Goshen Road Ext Ste 300
P.O. Box 456
Rincon, GA 31326-5590
Phone (912) 826-0860

Other identifiers 1

IdentifierTypeStateIssuer
704507899AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000000 GA Practitioner - Internal Medicine 5294710455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Careplus Urgent Care LLCGroup PAC ID 1052806171, 3 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

131 Goshen Rd Ext
Suite 300
Rincon, GA 31326-5590
Phone (912) 826-0860

1374 Hwy 21 S
Springfield, GA 31329-5201
Phone (912) 663-4247

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054201GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Sep 15, 2020 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Sep 15, 2020 Accepting new patients
Careplus Urgent Care, LLC CurrentSince Oct 23, 2025 Accepting new patients
Effingham Hospital, Inc. Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Effingham Hospital, Inc. PastSince Jun 8, 2025 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

131 Goshen Road Ext
Ste 300
Rincon, GA 31326
Phone (912) 352-3535

1374 Highway 21 S
Springfield, GA 31329
Phone (912) 663-4247

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/effingh-036d928f
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lawrence.adjei.1@8042.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1689637134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GOSHEN ROAD EXT STE 300",
            "address_2": "P.O. BOX 456",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265590",
            "telephone_number": "912-826-0860",
            "fax_number": "855-796-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 GOSHEN ROAD EXT",
            "address_2": "SUITE 300",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265589",
            "telephone_number": "912-826-0860",
            "fax_number": "855-796-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADJEI",
        "first_name": "LAWRENCE",
        "middle_name": "ADJETEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "704507899A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.