Individual provider Active NPI

Yetunde O Orimogunje, MD

  • Anesthesiology Physician
  • Lawrenceville, GA
National Provider Identifier
1871617274
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
059576 Issued in GA
Practice address
1000 Medical Center Blvd
Lawrenceville, GA 30046-0000
Phone
(770) 277-3056
Fax
(855) 204-5244
NPI assigned
Mar 19, 2007
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 92878 SC
Anesthesiology Physician 207L00000X 059576 GA Primary
Anesthesiology Physician 207L00000X 240933 NY

Addresses

Primary practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-0000

Mailing address

PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other identifiers 6

IdentifierTypeStateIssuer
227142336AMedicaidGA
227142336BMedicaidGA
P00457334OtherRAILROAD MEDICARE
415429OtherGAWELLCARE
52231382001OtherGABCBS OF GA
227142336CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080114000529 GA Practitioner - Anesthesiology 8820179021 Reassigns benefits to 5 organizations
I20240806003269 SC Practitioner - Anesthesiology 8820179021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesia Barrow Inc.Group PAC ID 2769633114, 9 clinicians
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

316 N Broad St
Winder, GA 30680-1776
Phone (770) 867-3400

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240933NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Aug 5, 2024 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jan 1, 2021 Accepting new patients
Emory Specialty Associates, LLC Anesthesiology CurrentSince Jul 17, 2024 Accepting new patients
American Anesthesiology Associates of Georgia, LLC Anesthesiology CurrentSince Nov 1, 2013 Accepting new patients
Prisma Health University Medical Group Anesthesiology CurrentSince Aug 5, 2024 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Jan 30, 2024 Accepting new patients
Resource Anesthesia Barrow Inc. CurrentSince Dec 7, 2025 Accepting new patients
Northlake Anesthesia Professionals, LLC Anesthesiology Past Accepting new patients

Locations

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

138 W Athens St
Winder, GA 30680
Phone (770) 307-3922

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

Interoperability endpoints

  • Direct secure messaging: yorimogunje791175@direct.ghs.myhfn.org
  • Direct secure messaging: yorimogunje913369@direct.emory.org

Organizations & group practices 9

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1871617274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "954-839-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300460000",
            "telephone_number": "770-277-3056",
            "fax_number": "855-204-5244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORIMOGUNJE",
        "first_name": "YETUNDE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "92878",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "059576",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "240933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227142336A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227142336B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00457334",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "415429",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA",
            "identifier": "52231382001",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227142336C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.