Adetola Makanjuola

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

285464 Issued in GA

Practice address

370 Tillman Pass
Woodstock, GA 30188-5632

Phone

(404) 492-2737

NPI assigned

Jun 13, 2025

Last updated

Jun 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA, Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1972499200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 TILLMAN PASS",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885632",
            "telephone_number": "404-492-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 TILLMAN PASS",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885632",
            "telephone_number": "404-492-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKANJUOLA",
        "first_name": "ADETOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "285464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Michael Magliocco, O.D.
• Magnolia Grace Homecare LLC
• Padmini Amanda Mahadeo, COTA
• Redah Z Mahmood, MD
• Taylor James Maida, PT, DPT
• Menka Malhotra, DMD
• Neha Malhotra
• Daniyaal Ahmed Malik, DMD
• Monica Mallamace
• Hector Agustin Mallar, PT, DPT

• Nurse Practitioner in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.