Active NPI
Ayodeji Sotimehin
- Urology Physician
- Riverdale, GA
National Provider Identifier
1972969012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 103700
- Practice address
- 33 Upper Riverdale Rd SW Ste 105
Riverdale, GA 30274-2642 - Phone
- (770) 991-0020
- Fax
- (770) 994-9729
- NPI assigned
- Jan 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 103700 | GA | Primary |
Addresses
Primary practice location
33 Upper Riverdale Rd SW Ste 105
Riverdale, GA 30274-2642
Mailing address
1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250520004745 | GA | Practitioner - Urology | 5294078549 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Johns Hopkins University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Georgia Urology, PA
Practice addresses (Care Compare)
33 Upper Riverdale SWRD
Suite 105
Riverdale, GA 30274-2642
Phone (770) 991-0020
Hospital & facility affiliations
- Piedmont Fayette Hospital
- Northside Hospital
- Piedmont Newnan Hospital, Inc
- Piedmont Henry Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103700 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Urology Piedmont, LLC | Urology | Current | Accepting new patients |
| Georgia Urology Piedmont, LLC | Urology | Current | Accepting new patients |
| Georgia Urology, PA | Current | Accepting new patients | |
| Georgia Urology PA | Urology | Current | Accepting new patients |
| Georgia Urology PA | Urology | Current | Accepting new patients |
| Georgia Urology PA | Urology | Past | Accepting new patients |
Locations
3890 Redwine Rd SW
Ste 112
Atlanta, GA 30331
Phone (404) 352-3300
1301 Sigman Rd NE
Ste 250A
Conyers, GA 30012
Phone (770) 760-9900
1336 Highway 54 W
Bldg 100
Fayetteville, GA 30214
Phone (678) 610-3395
1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040
33 Upper Riverdale Rd SW
Ste 105
Riverdale, GA 30274
Phone (770) 991-0020
900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201
Interoperability endpoints
- ayodeji.sotimehin.p1@direct.gupa.nextgenshare.com
Organizations & group practices 10
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.
-
- Ambulatory Surgical Clinic/Center
- Braselton, GA
- NPI 1861222119
-
- Urology Physician
- Smyrna, GA
- NPI 1851517072
-
- Ambulatory Surgical Clinic/Center
- Canton, GA
- NPI 1598412256
-
- Ambulatory Surgical Clinic/Center
- Smyrna, GA
- NPI 1639499627
-
- Ambulatory Surgical Clinic/Center
- Roswell, GA
- NPI 1952771230
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1972969012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 BRANNAN RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534310",
"telephone_number": "678-284-4040",
"fax_number": "678-284-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 UPPER RIVERDALE RD SW STE 105",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742642",
"telephone_number": "770-991-0020",
"fax_number": "770-994-9729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTIMEHIN",
"first_name": "AYODEJI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-05",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "103700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, GA
- Sheila Eloise Smith, MEDICAL ASSISTANT
- Walter H Smith, D.O
- Solace Gardens, LLC
- Sonar Clinical Research, LLC
- Sophia Waye Coley Coley DMD,PC
- South Atlanta Medical Care
- South Atlanta Neurology and Diagnostics, P.C.
- South Atlanta Pediatrics
- South Atlanta Psychiatry LLC
- South Atlanta Pulmonary & Critical Care Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.