Individual provider Active NPI

Bidemi Yemi Olaniyi-Leyimu, MD

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1730165556
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051996 Issued in GA
Practice address
61 Robinson Lake Rd
Newnan, GA 30265-1062
Phone
(678) 633-3260
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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 051996 GA Primary

Addresses

Primary practice location

61 Robinson Lake Rd
Newnan, GA 30265-1062

Mailing address

15 Stonebridge Pass
Newnan, GA 30265-6049
Phone (770) 251-7364

Other names 1

  • Mrs. Bidemi Yemi Leyimu Other name

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
I20171024001290 GA Order and Referring Only - Family PracticePractitioner - Family Practice 8628262953

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC Past Accepting new patients
Piedmont Medical Care Corporation Family Medicine PastSince Dec 29, 1995 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bidemi.olaniyi-leyimu.1@24920.direct.athenahealth.com

Organizations & group practices 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1730165556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STONEBRIDGE PASS",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656049",
            "telephone_number": "770-251-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ROBINSON LAKE RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651062",
            "telephone_number": "678-633-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLANIYI-LEYIMU",
        "first_name": "BIDEMI",
        "middle_name": "YEMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIDEMI",
            "last_name": "LEYIMU",
            "middle_name": "YEMI",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.