Akinlawon Olugbenga Ayeni, M.D.
Individual provider Active NPI Addiction Medicine (Psychiatry & Neurology) Physician · Largo, MD
NPI 1821167149 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1821167149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
- License
- 26699 (GA)
- Practice address
- 1400 Mercantile LN Ste 180
Largo, MD 20774-5369 - Phone
- (301) 925-7022
- Fax
- (301) 925-4463
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Addiction Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sophroneo Psychiatry PC
Practice addresses (Care Compare)
129 Deanna St
Comfort, WV 25049
Phone (470) 671-7575
1870 The Exchange SE
Suite 20026
Atlanta, GA 30339-2036
Phone (770) 829-7442
2620 W Arrowood Rd
Suite 102
Charlotte, NC 28273-6262
Phone (703) 408-8328
4170 Old Austell Rd
Powder Springs, GA 30127-2691
Phone (770) 999-9495
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in DE, GA, WV, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150423000384 | DE | Practitioner - Addiction Medicine |
4981782331 | |
| I20170915000082 | GA | Practitioner - Addiction Medicine | 4981782331 | Reassigns benefits to 3 organizations |
| I20240318002987 | WV | Practitioner - Addiction Medicine | 4981782331 | Reassigns benefits to 1 organization |
| I20240829000573 | NC | Practitioner - Addiction Medicine | 4981782331 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32306 | WV | MD | Licensed Practical Nurse |
| 026699 | GA | MD | Pharmacist |
| 26699 | GA | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sophroneo Psychiatry, P.C. | Single Specialty | Current |
Accepting new patients |
| Akin Ayeni MD and Associates Inc | Single Specialty | Current |
Accepting new patients |
| Uplift Recovery and Wellness Center Inc | Single Specialty | Current |
Accepting new patients |
| Personal Recovery Network LLC | Single Specialty | Current |
Accepting new patients |
| Medmark Treatment Centers of Georgia, Inc. | Current |
Accepting new patients | |
| Augusta Addiction Associates | Current |
Accepting new patients |
Locations
1870 The Exchange SE
Ste 20026
Atlanta, GA 30339
Phone (770) 829-7442
1870 The Exchange SE
Ste 200
Atlanta, GA 30339
Phone (404) 558-3297
1668 Mulkey Rd
Ste D4
Austell, GA 30106
4170 Old Austell Rd
Powder Springs, GA 30127
Phone (470) 593-8652
5200 Dallas Hwy
Ste 200134
Powder Springs, GA 30127
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
2620 W Arrowood Rd
Ste 102
Charlotte, NC 28273
Phone (703) 408-8328
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine |
173000000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 26699 | GA | Yes |
Addresses
Primary practice location
1400 Mercantile LN Ste 180
Largo, MD 20774-5369
Mailing address
7137 Fox Harbor Way
Elkridge, MD 21075-6570
Phone (410) 379-8380
Other providers in Largo, MD
- Avenel Holistic Health Services LLC
- Avenel Holistic Health Services LLC
- Awesome Resource Coordination, Inc.
- Aya Behavioral Health LLC
- Aya Behavioral Health LLC
- Sam Azargoon
- Jemilat Olapeju Badamas
- Gerria Marie Ballard
- Cecily Barbee
- Kathryn Ann Barron
All providers in Largo, MD · Addiction Medicine (Psychiatry & Neurology) Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.