Active NPI
Bidemi Yemi Olaniyi-Leyimu, MD
- Family Medicine Physician
- Newnan, GA
National Provider Identifier
1730165556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 051996
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171024001290 | GA | Order and Referring Only - Family Practice | 8628262953 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Past | Accepting new patients | |
| Piedmont Medical Care Corporation | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.