Organization Active NPI

Baybol Pediatrics LLC

  • Pediatrics Physician
  • Lawrenceville, GA
National Provider Identifier
1740972280
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BAYBOL PEDIATRICS LLC
Practice address
1170 McKendree Church Rd
Lawrenceville, GA 30043-5999
Phone
(770) 733-1077
NPI assigned
May 23, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Adebayo K Akinsola, MD
Title
Owner
Phone
(770) 733-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1170 McKendree Church Rd
Lawrenceville, GA 30043-5999

Mailing address

1170 McKendree Church Rd
Lawrenceville, GA 30043-5999
Phone (770) 733-1077

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2284830Baybol Pediatrics1170 McKendree Church Road, Lawrenceville, GA 30043Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Baybol Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1740972280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MCKENDREE CHURCH RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435999",
            "telephone_number": "770-733-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MCKENDREE CHURCH RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435999",
            "telephone_number": "770-733-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYBOL PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "AKINSOLA",
        "authorized_official_first_name": "ADEBAYO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-733-1077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.