DR. JIBIKE JOY ADEGBILE (NPI# 1548215163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548215163 |
| Entity Type | Individual |
| Full Name | DR. JIBIKE JOY ADEGBILE |
| Credential | M.D. |
| Practice Address |
7196 N Lake Dr Suite B Columbus GA 31909-1693 |
| Practice Telephone | 7062563500 |
| Practice Fax Number | 7062563505 |
| Mailing Telephone | 7062563500 |
| Mailing Fax Number | 7062563505 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
048967 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000876037E | 05 |
| Street Address |
7196 N LAKE DR SUITE B |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-1693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386613743 | Jonathan Leonard Liss | Psychiatry & Neurology | 7196 N Lake Dr, Suite A, Columbus, GA 31909-1693 | 2006-03-16 |
| 1083171607 | Columbus Memory Center, PC | Psychiatry & Neurology | 7196 N Lake Dr, Columbus, GA 31909-1693 | 2019-03-01 |
| 1053597088 | Jonathan L. Liss, Md, Neurology, PC | Psychiatry & Neurology | 7196 N Lake Dr, Suite A, Columbus, GA 31909-1693 | 2008-01-22 |
| 1699717199 | Geriatrics & Family Medicine Center of Columbus, P. C. | Clinic/Center | 7196 N Lake Dr, Suite B, Columbus, GA 31909-1693 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1295846673 | James Glenn Fitkin | Family Medicine | 4794 Dierker Rd, Columbus, OH 43220-2968 | 2006-08-31 |
| 1699706879 | American Health Network of Ohio, LLC | Family Medicine | 2500 Corporate Exchange Drive Suite 100, Columbus, OH 43231-7665 | 2006-07-05 |
| 1255369484 | Mark Alan Buddie | Family Medicine | 2500 Corporate Exchange Dr, Suite 100, Columbus, OH 43231-7665 | 2006-06-28 |
| 1366481822 | Vincent K Chu | Family Medicine | 2500 Corporate Exchange Dr Ste 100, Columbus, OH 43231-7601 | 2006-06-06 |
| 1942440276 | Amit R Bhojraj | Family Medicine | 3555 Olentangy River Rd Ste 1080, Columbus, OH 43214-3984 | 2009-02-26 |
| 1659540136 | Gerald Lane D.o. | Family Medicine | 1275 Olentangy River Rd, Suite 202, Columbus, OH 43212-3119 | 2008-02-28 |
| 1770766909 | Glenn E. Fussell | Family Medicine | 2827 Warm Springs Rd, Suite 3b, Columbus, GA 31904-5246 | 2007-12-11 |
| 1588711410 | Ralph Newman | Family Medicine | 1000 E Broad St, Columbus, OH 43205-1381 | 2007-01-04 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.