Anthony Adebayo Adetomiwa, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

92799 Issued in GA

Practice address

3131 S Main St
Moultrie, GA 31768-6925

Phone

(229) 891-9131

NPI assigned

Apr 17, 2019

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

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

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 and National Provider Directory roles.

• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823

  GA

  Medicare reassignment NPD
• Colquitt Regional Hospitalists, LLC

  • Hospitalist Physician
  • Moultrie, GA
  • NPI 1851840912

  GA

  Medicare reassignment NPD
• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094

  GA

  Medicare reassignment NPD
• Colquitt Regional Medical Center

  • Specialty Pharmacy
  • Moultrie, GA
  • NPI 1720820665
  NPD
• Colquitt Regional Medical Center

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1962850396
  NPD
• Colquitt Regional Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Moultrie, GA
  • NPI 1942865480
  NPD
• Ascension Via Christi Hospital Manhattan, Inc.

  • General Practice Physician
  • Manhattan, KS
  • NPI 1144220153
  NPD
• Ascension Via Christi Hospital Manhattan, Inc.

  • Interventional Cardiology Physician
  • Manhattan, KS
  • NPI 1720271091
  NPD
• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  NPD
• West Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1821221144
  NPD (past)
• Partners in Wellness

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1518461524
  NPD (past)

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1902469752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-502-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686925",
            "telephone_number": "229-891-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADETOMIWA",
        "first_name": "ANTHONY",
        "middle_name": "ADEBAYO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "92799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Loran Adams III, R.PH., PHARM. D.
• Kaley Adams, PNP
• Adcock Center for Women'S Health PA
• Toluwani Olugbenga Adebisi, MD
• Alfred Ernest Aguero, DMD
• Amal Akhtar, DO
• Akri Trucking and Logistics
• Camille Akridge, D.C
• Muhammad Mahmood Alam, M.D.

• All providers in Moultrie, GA
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.