Individual provider Active NPI

Adebola Yewande Afolayan, MD

  • Student in an Organized Health Care Education/Training Program
  • Valdosta, GA
National Provider Identifier
1740917913
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2501 N Patterson St
Valdosta, GA 31602-1735
Phone
(229) 433-4175
NPI assigned
Aug 6, 2022
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X GA Primary
General Practice Physician 208D00000X P116867 NY

Addresses

Primary practice location

2501 N Patterson St
Valdosta, GA 31602-1735

Mailing address

1773 Big Ridge Dr
East Stroudsburg, PA 18302-6643

Other practice location 1

6136 170th St Apt M4
Fresh Meadows, NY 11365-1957
Phone (718) 709-0940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220822002782 NY Practitioner - General Practice 3779966890 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peyman Younesi MD PLLC CurrentSince Jul 27, 2022 Accepting new patients

Locations

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1740917913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 BIG RIDGE DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183026643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021735",
            "telephone_number": "229-433-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6136 170th St Apt M4",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113651957",
            "country_code": "US",
            "telephone_number": "718-709-0940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFOLAYAN",
        "first_name": "ADEBOLA",
        "middle_name": "YEWANDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "P116867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.