Oluyomi M Adeyeye, PA-S
Individual provider Active NPI Physician Assistant · Atlanta, GA
NPI 1972196889 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1972196889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10449 (GA)
- Practice address
- 275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740 - Phone
- (404) 350-0009
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grady Memorial Hospital Corporation
Practice addresses (Care Compare)
22 Piedmont Ave SE
3Rd Floor
Atlanta, GA 30303-3050
Phone (404) 616-2215
56 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 87.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211005000539 | GA | Practitioner - Physician Assistant | 2668870718 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10449 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Current |
Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10449 | GA | Yes |
Addresses
Primary practice location
275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Mailing address
PO Box 102321
Atlanta, GA 30368-2321
Other practice location 1
3215 Mars Hill Rd NW
Acworth, GA 30101-4051
Phone (770) 912-8447
Other names
- Yomi M Adeyeye
Other providers in Atlanta, GA
- Olawande Joshua Adeyefa
- Oluwaseyi Moyinoluwa Adeyemi-Bajo
- Adetoun Adeyemi
- Adetoun Adeyemo
- Bamidele Oyebamiji Adeyemo
- Bhavin Bipin Adhyaru
- Josephine Adibe
- Kamsiyonna Adichie
- Adaeze C Adigweme
- Kelly Adike
All providers in Atlanta, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. 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.