NPIMap

Individual provider Active NPI

Ayodele A Ayedun, M.D.

  • Emergency Medicine Physician
  • Augusta, GA
National Provider Identifier
1902874027
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
046732 Issued in GA
Practice address
717 Bohler Ave
First Imex Corp
Augusta, GA 30904
Phone
(912) 237-4793
NPI assigned
Mar 14, 2006
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 046732 GA Primary

Addresses

Primary practice location

717 Bohler Ave
First Imex Corp
Augusta, GA 30904

Mailing address

PO Box 1191
Augusta, GA 30903-1191
Phone (912) 237-4793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capsule Pain and Wellness Center PC Current Accepting new patients
First Imex Corp Current Accepting new patients
Cardiovascular Associates PC Past Accepting new patients
The Baxley and Appling County Hospital Authority Past Accepting new patients
Stelzer Surgery, PC Past Accepting new patients
Adel Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Nes Georgia, Inc. Emergency Medicine Past Accepting new patients
Taylor Regional Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
SC Healthcare Investments, LLC Past Accepting new patients
Nes Georgia, Inc. Emergency Medicine Past Accepting new patients
Tattnall Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1902874027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031191",
            "telephone_number": "912-237-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BOHLER AVE",
            "address_2": "FIRST IMEX CORP",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "912-237-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYEDUN",
        "first_name": "AYODELE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "046732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.