Guardian Physician Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GUARDIAN PHYSICIAN SERVICES LLC

Practice address

4651 Roswell Rd Ste D308
Atlanta, GA 30342-3055

Phone

(404) 947-4842

NPI assigned

Jun 24, 2018

Organization subpart

No

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

Authorized official

Name

Adebola Oyekoya, MDNPI 1013273564

Title

Owner

Phone

(404) 947-4842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adebola Oyekoya

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1013273564
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1891280764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 ROSWELL RD STE D308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423055",
            "telephone_number": "404-947-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 ROSWELL RD STE D308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423055",
            "telephone_number": "404-947-4842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 South Ave SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300602377",
            "country_code": "US",
            "telephone_number": "404-947-4842",
            "fax_number": "404-947-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-24",
        "last_updated": "2024-03-25",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "OYEKOYA",
        "authorized_official_first_name": "ADEBOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-947-4842",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Xinhui Guan, PA-C
• Shangbo Guan, M.D.
• Elena Marie Guardia, LMSW
• Guardian Hospice of Georgia, LLC
• Guardian Path LLC
• Clifford Guarnaccia, PH.D.
• Jeannette Guarner, M.D.
• Antonio Guasch, M.D.
• Rebecca Elizabeth Guay, NURSE PRACTITIONER
• Alexandra Mjoll Gudbergsdottir, ATC

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.