Individual provider Active NPI

Oluranti A Aladesanmi, MD

  • Internal Medicine Physician
  • Holly Springs, GA
National Provider Identifier
1891899449
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57918 Issued in GA
Practice address
684 Sixes Rd Ste 265
Holly Springs, GA 30115
Phone
(770) 720-2221
Fax
(770) 720-2282
NPI assigned
Sep 12, 2006
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57918 GA Primary

Addresses

Primary practice location

684 Sixes Rd Ste 265
Holly Springs, GA 30115

Mailing address

6600 Peachtree Dunwoody Rd Ste 325
Atlanta, GA 30328-6773
Phone (404) 876-1906

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address olurantialadesanmi@lmg.allscriptsdirect.net Direct

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
I20061121000525 GA Practitioner - Internal Medicine 3870503576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Laureate Medical Group at Northside, LLCGroup PAC ID 2668458530, 75 clinicians

Practice addresses (Care Compare)

655 Molly LN
Woodstock, GA 30189-6519
Phone (770) 517-1080

684 Sixes Rd
Suite 265
Holly Springs, GA 30115-8720
Phone (770) 720-2221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57918GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group Internal Medicine CurrentSince Feb 21, 2011 Accepting new patients
Morehouse Healthcare, Inc. Internal Medicine CurrentSince Aug 3, 2006 Accepting new patients
Laureate Medical Group at Northside LLC Internal Medicine CurrentSince Jan 14, 2019 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 500
Alpharetta, GA 30005
Phone (678) 775-2284

1175 Cascade Pkwy SW
Ofc
Atlanta, GA 30311
Phone (404) 505-4111

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

684 Sixes Rd
Ste 265
Holly Springs, GA 30115
Phone (770) 720-2221

6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500

6600 Peachtree Dunwoody Rd
Bldg 600
Sandy Springs, GA 30328

Interoperability endpoints

  • Direct secure messaging: olurantialadesanmi@lmg.allscriptsdirect.net

Organizations & group practices 3

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 7

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1891899449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 PEACHTREE DUNWOODY RD STE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286773",
            "telephone_number": "404-876-1906",
            "fax_number": "404-256-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 SIXES RD STE 265",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "30115",
            "telephone_number": "770-720-2221",
            "fax_number": "770-720-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALADESANMI",
        "first_name": "OLURANTI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "57918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olurantialadesanmi@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct edge",
            "address_1": "684 Sixes Rd Ste 265",
            "city": "Holly Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holly Springs, GA

Sources for this page

Verify at the official NPI Registry.