Adebowale O Akintayo, MD, MPH
Individual provider Active NPI Family Medicine Physician · Decatur, GA
NPI 1902148752 · NPPES record last updated May 24, 2017
Key facts
- NPI
- 1902148752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 73945 (GA)
- Practice address
- 1834 Clairmont Rd
Decatur, GA 30033-3405 - Phone
- (404) 634-4443
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peachtree Immediate Care FP, LLC
Practice addresses (Care Compare)
1275 Hwy 54 W
Suite 201
Fayetteville, GA 30214-4538
Phone (770) 461-3776
3543 US Hwy 431 N
Suite D
Phenix City, AL 36867
Phone (334) 214-1080
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in GA, FL, MD, DC, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151023002099 | GA | Practitioner - Family Practice | 8527377043 | Reassigns benefits to 1 organization |
| I20200522001740 | FL | Practitioner - Family Practice | 8527377043 | Reassigns benefits to 1 organization |
| I20260408001067 | MD | Practitioner - Family Practice | 8527377043 | Reassigns benefits to 1 organization |
| I20260408001144 | DC | Practitioner - Family Practice | 8527377043 | Reassigns benefits to 1 organization |
| I20260528002735 | AL | Practitioner - Family Practice | 8527377043 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73945 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Immediate Care FP, LLC | Family Medicine | Current |
Accepting new patients |
| Cloud Health Medical Group of California, P.C. | Family Medicine | Past | Accepting new patients |
Locations
3543 US Hwy 431 N
Ste D
Phenix City, AL 36867
Phone (334) 214-1080
5419 Chamblee Dunwoody Rd
Dunwoody, GA 30338
Phone (404) 988-1877
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
1080 Dawsonville Hwy
#A
Gainesville, GA 30501
Phone (678) 270-1060
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 73945 | GA | Yes |
Addresses
Primary practice location
1834 Clairmont Rd
Decatur, GA 30033-3405
Mailing address
1834 Clairmont Rd
Decatur, GA 30033-3405
Phone (404) 634-4443
Other providers in Decatur, GA
- Shari Aizenman
- Wanda Aker
- Scott J Akin
- Olubusola Oluyemi Akinbote
- Adeyemisi O Akinnawo
- Adebayo A Akintobi
- Makungu Mshairi Akinyela
- Akoma Consulting Inc
- Akoma Counseling & Consulting, Inc
- Joyce A. Akwe
All providers in Decatur, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.