Individual provider Active NPI

Tolulope Adeyemo, MD

  • Family Medicine Physician
  • Smyrna, GA
National Provider Identifier
1841588068
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93726 Issued in GA
Practice address
562 Concord Rd SE
Smyrna, GA 30082-2608
Phone
(770) 384-9900
NPI assigned
Jul 21, 2011
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME118577 FL
Family Medicine Physician 207Q00000X 93726 GA Primary

Addresses

Primary practice location

562 Concord Rd SE
Smyrna, GA 30082-2608

Mailing address

562 Concord Rd SE
Smyrna, GA 30082-2608
Phone (770) 384-9900

Other practice location 1

6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone (904) 862-2175

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tadeyemo584272@directwellstar.org

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
I20221114002771 GA Practitioner - Family Practice 8628294931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

562 Concord Serd
Smyrna, GA 30082-2608
Phone (770) 384-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118577FLMDFamily Medicine Physician
93726GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Sep 15, 2024 Accepting new patients
Jencare Neighborhood Medical Center West End, LLC CurrentSince Nov 4, 2022 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Baptist Primary Care Inc Family Medicine Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

562 Concord Rd SE
Smyrna, GA 30082
Phone (770) 384-9830

Interoperability endpoints

  • Direct secure messaging: tadeyemo584272@directwellstar.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1841588068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822608",
            "telephone_number": "770-384-9900",
            "fax_number": "904-245-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822608",
            "telephone_number": "770-384-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6841 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322444418",
            "country_code": "US",
            "telephone_number": "904-862-2175",
            "fax_number": "904-245-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "TOLULOPE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118577",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "93726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tadeyemo584272@directwellstar.org",
            "affiliation": "N",
            "address_1": "562 Concord Rd SE",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300822608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.