Oladiran Ademola Afolabi-Brown, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

051902 Issued in GA

Practice address

682 Hemlock St
#410
Macon, GA 31201-6883

Phone

(478) 745-7925

Fax

(478) 745-7885

NPI assigned

Dec 7, 2006

Last updated

Mar 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Plastic and Reconstructive Surgery

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Image Plastic Surgery Center, Inc

  • Plastic and Reconstructive Surgery Physician
  • Macon, GA
  • NPI 1669539078
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1881753606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084207",
            "telephone_number": "478-745-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "#410",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016883",
            "telephone_number": "478-745-7925",
            "fax_number": "478-745-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFOLABI-BROWN",
        "first_name": "OLADIRAN",
        "middle_name": "ADEMOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "051902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "52012975 002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CARE PROVIDER #",
            "identifier": "319755",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aegis Group Practice LLC
• Aegis Therapies Group Practice LLC
• Affinity Care Solutions LLC
• Affordable Dentures & Implants - Macon, P.C.
• Noleen C Afolabi-Brown, CRNA
• Agape Medical Transport Inc
• Agape Medical Transport Inc
• Chibuzo Franklin Agbakwuru Onyike, MD
• Arvind Kumar Aggarwal, M.D.
• Korie L Agudelo, CRNA

• Plastic Surgery Physician in Macon, GA
• Providers in Macon, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.

Verify at the official NPI Registry.