Individual provider Active NPI

Adebowale O Akintayo, MD, MPH

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1902148752
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73945 Issued in GA
Practice address
1834 Clairmont Rd
Decatur, GA 30033-3405
Phone
(404) 634-4443
NPI assigned
Mar 20, 2013
Last updated
May 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 73945 GA Primary

Addresses

Primary practice location

1834 Clairmont Rd
Decatur, GA 30033-3405

Mailing address

1834 Clairmont Rd
Decatur, GA 30033-3405
Phone (404) 634-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, MD, DC, AL5 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 5

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

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 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73945GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Jul 2, 2023 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

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1902148752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333405",
            "telephone_number": "404-634-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333405",
            "telephone_number": "404-634-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINTAYO",
        "first_name": "ADEBOWALE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "73945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.