Individual provider Active NPI

Ibrahim Aliu Opaleye, M.D.

  • Family Medicine Physician
  • Buford, GA
National Provider Identifier
1720367287
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2612465 Issued in GA
Practice address
1819 Buford Hwy Ste C
Buford, GA 30518-8828
Phone
(678) 288-9000
Fax
(678) 288-9011
NPI assigned
Aug 15, 2011
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2612465 GA Primary

Addresses

Primary practice location

1819 Buford Hwy Ste C
Buford, GA 30518-8828

Mailing address

1819 Buford Hwy Ste C
Buford, GA 30518-8828
Phone (678) 288-9000

Other practice location 1

5468 Memorial Dr Ste D
Stone Mountain, GA 30083-3267
Phone (404) 963-2142

Other identifiers 1

IdentifierTypeStateIssuer
03391182MedicaidNY

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
I20150918001603 GA Practitioner - Family Practice 3274705108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Favor Family Medical Practice LLCGroup PAC ID 7315351012, 2 clinicians

Practice addresses (Care Compare)

103 Mountain Brook Dr
Suite 100
Canton, GA 30115-9078
Phone (678) 880-8893

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2612465GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Favor Family Medical Practice LLC Family Medicine CurrentSince Jul 24, 2020 Accepting new patients
Community Care Physicians, PLLC Family Medicine Past Accepting new patients
Community Care Physicians, PC Family Medicine PastSince Jan 1, 1998 Accepting new patients

Locations

103 Mountain Brook Dr
Ste 100
Holly Springs, GA 30115
Phone (470) 227-8130

Organizations & group practices 3

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 1

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1720367287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BUFORD HWY STE C",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188828",
            "telephone_number": "678-288-9000",
            "fax_number": "678-288-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BUFORD HWY STE C",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188828",
            "telephone_number": "678-288-9000",
            "fax_number": "678-288-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5468 Memorial Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300833267",
            "country_code": "US",
            "telephone_number": "404-963-2142",
            "fax_number": "404-963-2098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPALEYE",
        "first_name": "IBRAHIM",
        "middle_name": "ALIU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "2612465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03391182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.