Individual provider Active NPI

Adeniyi M. Obalanlege, MD

  • Hospitalist Physician
  • Gainesville, GA
National Provider Identifier
1780601609
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
061628 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-6000
Fax
(770) 219-6021
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21714 WV
Hospitalist Physician 208M00000X 061628 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other identifiers 1

IdentifierTypeStateIssuer
3810000919MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aobalanlege29808@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20101111001052 GA Practitioner - HospitalistPractitioner - Internal Medicine 1456312867 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians

Practice addresses (Care Compare)

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501-3715

PO Box
Suite 1060
Oakwood, GA 30566-0018

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
  • Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21714WVMDInternal Medicine Physician
061628GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, PC Hospitalist CurrentSince Jun 1, 2013 Accepting new patients
Apogee Medical Group Georgia Internal Medicine CurrentSince Sep 15, 2017 Accepting new patients
Vituity-Georgia Hospitalists PC Hospitalist CurrentSince Aug 15, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Nov 3, 2014 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Jun 1, 2013 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Tanner Medical Center, Inc Past Accepting new patients
Greenbrier Emergency Services, Inc. Hospitalist Past Accepting new patients
Kelly Medical Services Corporation LLC Internal Medicine Past Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients
Bleckley Emergency Group LLC Past Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • Direct secure messaging: aobalanlege2018582@direct.trinity-health.org
  • Direct secure messaging: aobalanlege29808@nghs.gadirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1780601609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-6000",
            "fax_number": "770-219-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBALANLEGE",
        "first_name": "ADENIYI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21714",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "061628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000919",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aobalanlege29808@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring St NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.