NPIMap

Organization Active NPI

Baybol Pediatrics LLC

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1760858252
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
67381 Issued in GA
Legal business name
BAYBOL PEDIATRICS LLC
Practice address
9 Dunwoody Park Ste 126
Atlanta, GA 30338-6712
Phone
(770) 733-1077
Fax
(770) 234-6898
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Adebayo Kolawole Akinsola, M.D.
Title
Owner
Phone
(770) 733-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 67381 GA Primary

Addresses

Primary practice location

9 Dunwoody Park Ste 126
Atlanta, GA 30338-6712

Mailing address

9 Dunwoody Park Ste 126
Atlanta, GA 30338-6712
Phone (770) 733-1077

Other identifiers 1

IdentifierTypeStateIssuer
67381OtherGASTATE LICENCE

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.

Locations

1170 McKendree Church Rd
Lawrenceville, GA 30043
Phone (770) 299-1311

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1760858252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK STE 126",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386712",
            "telephone_number": "770-733-1077",
            "fax_number": "770-234-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK STE 126",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386712",
            "telephone_number": "770-733-1077",
            "fax_number": "770-234-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYBOL PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "AKINSOLA",
        "authorized_official_first_name": "ADEBAYO",
        "authorized_official_middle_name": "KOLAWOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-733-1077",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "67381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "67381",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.