Individual provider Active NPI

Fatai Gbolade Adamson, M.D.

  • Pediatrics Physician
  • Altamonte Springs, FL
National Provider Identifier
1730262015
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 129617 Issued in FL
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

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020617600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305003947 FL Practitioner - Pediatric Medicine 1759726342 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 129617FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jan 16, 2024 Accepting new patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Jan 16, 2024 Accepting new patients
Topcare Pediatrics PLLC Pediatrics CurrentSince Jan 1, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/15833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.