Active NPI
Akinlawon Olugbenga Ayeni, M.D.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Largo, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 26699
- Practice address
- 1400 Mercantile LN Ste 180
Largo, MD 20774-5369 - Phone
- (301) 925-7022
- Fax
- (301) 925-4463
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 26699 | GA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, GA, WV, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
|---|---|---|---|
| Akin Ayeni MD and Associates Inc | Single Specialty | Current | Accepting new patients |
| Medmark Treatment Centers of Georgia, Inc. | Current | Accepting new patients | |
| Sophroneo Psychiatry, P.C. | 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 |
| Augusta Addiction Associates | Current | Accepting new patients |
Locations
1870 The Exchange SE
Ste 200
Atlanta, GA 30339
Phone (404) 558-3297
1870 The Exchange SE
Ste 20026
Atlanta, GA 30339
Phone (770) 829-7442
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
Organizations & group practices 6
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Atlanta, GA
- NPI 1154081412
NC, Single Specialty, WV
-
- Psychiatric/Mental Health Nurse Practitioner
- Powder Springs, GA
- NPI 1619541588
Single Specialty
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
Single Specialty
-
dba Medmark Treatment Centers Savannah
- Substance Use Disorder Rehabilitation Clinic/Center
- Savannah, GA
- NPI 1972880417
-
dba MedMark Treatment Centers Chatsworth
- Substance Use Disorder Rehabilitation Clinic/Center
- Chatsworth, GA
- NPI 1477041143
-
- Psychiatry Physician
- Covington, GA
- NPI 1770367641
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1821167149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7137 FOX HARBOR WAY",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756570",
"telephone_number": "410-379-8380",
"fax_number": "301-925-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN STE 180",
"city": "LARGO",
"state": "MD",
"postal_code": "207745369",
"telephone_number": "301-925-7022",
"fax_number": "301-925-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYENI",
"first_name": "AKINLAWON",
"middle_name": "OLUGBENGA",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "GA",
"license": "26699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.