Active NPI
Fatai Gbolade Adamson, M.D.
- Pediatrics Physician
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 129617
- Practice address
- 789 Douglas Ave Ste 135
Altamonte Springs, FL 32714-2573 - Phone
- (407) 725-7087
- Fax
- (321) 372-2779
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 129617 | FL | Primary |
Addresses
Primary practice location
789 Douglas Ave Ste 135
Altamonte Springs, FL 32714-2573
Mailing address
789 Douglas Ave
Ste 135
Altamonte Springs, FL 32714-2573
Phone (407) 725-7087
Other practice location 1
756 Elkcam Blvd Ste A
Deltona, FL 32725-2646
Phone (386) 241-0776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020617600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 129617 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Topcare Pediatrics PLLC | Pediatrics | Current | Accepting new patients |
Locations
789 Douglas Ave
Ste 135
Altamonte Springs, FL 32714
Phone (407) 725-7087
756 Elkcam Blvd
Ste A
Deltona, FL 32725
Phone (386) 241-0776
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
Interoperability endpoints
- https://api.platform.athenahealth.com/15833/brand/1/csg/1/fhir/r4
- fatai.adamson.1@15833.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Altamonte Springs, FL
- NPI 1447783006
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1730262015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 DOUGLAS AVE",
"address_2": "STE 135",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142573",
"telephone_number": "407-725-7087",
"fax_number": "321-972-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 DOUGLAS AVE STE 135",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142573",
"telephone_number": "407-725-7087",
"fax_number": "321-372-2779"
}
],
"practiceLocations": [
{
"address_1": "756 Elkcam Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Deltona",
"state": "FL",
"postal_code": "327252646",
"country_code": "US",
"telephone_number": "386-241-0776",
"fax_number": "321-972-2779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMSON",
"first_name": "FATAI",
"middle_name": "GBOLADE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 129617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020617600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.