OLUMIDE ADENIYL AJAYI (NPI# 1821228255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821228255 |
| Entity Type | Individual |
| Full Name | OLUMIDE ADENIYL AJAYI |
| Credential | M.D. |
| Practice Address |
1497 Lafayette Pkwy Lagrange GA 30241-2552 |
| Practice Telephone | (706) 880-7335 |
| Practice Fax Number | 7068122403 |
| Mailing Telephone | 7068807335 |
| Mailing Fax Number | 7068122403 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 076284 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11941 | ND | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | RL11257 | ND | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 South Columbia Road, Grand Forks, ND 582066002 | 7017805000 | 7017806860 |
| Street Address |
1497 LAFAYETTE PKWY |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30241-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740715135 | Christie Marlene Seward | Nurse Practitioner | 1497 Lafayette Pkwy, Lagrange, GA 30241-2552 | 2017-04-24 |
| 1588106009 | Kevin Eugene Knight | Nurse Practitioner | 1497 Lafayette Pkwy, Lagrange, GA 30241-2552 | 2016-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1578756565 | Richard Freeman Simmons | Dentist | 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 | 2007-08-22 |
| 1013071851 | Troup County School District | Local Education Agency (LEA) | 100 North Davis Road, Lagrange, GA 30241 | 2006-12-19 |
| 1851748172 | Medventures Physical Therapy, LLC | Physical Therapist | 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 | 2016-05-17 |
| 1154784205 | Med Ventures Mri, LLC | Radiology | 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 | 2016-04-05 |
| 1437514965 | Holly Renee Abbott | Counselor | 104 Harwell Ave, Lagrange, GA 30241 | 2015-12-29 |
| 1386780104 | Andre D Feria Md | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2007-01-29 |
| 1356354500 | Mohd Khairul Anam | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2006-08-15 |
| 1417914052 | Troup County Health Department | Public Health or Welfare | 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 | 2006-04-27 |
| Find all providers in zip 30241 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992153548 | Hometown Physician Group, LLC | Family Medicine | 1698 Vernon Rd, Lagrange, GA 30240-4100 | 2016-05-24 |
| 1073834404 | Robert Ambrose Martin | Family Medicine | 380 S Davis Rd, Suite E&f, Lagrange, GA 30241-2588 | 2010-06-21 |
| 1124201249 | Lagrange Family Medicine | Family Medicine | 303 Medical Dr, Ste 406, Lagrange, GA 30240-4169 | 2007-12-12 |
| 1326181694 | Marcia D. Ebbs Md Psc | Family Medicine | 1009 New Moody Ln, Suite 4, Lagrange, KY 40031-9142 | 2007-02-15 |
| 1043318355 | Lagrange Med Center, LLC | Family Medicine | 309 Vernon St, Lagrange, GA 30240-3162 | 2006-09-20 |
| 1912932617 | Rhonda L Sharp | Family Medicine | 2600 N Detroit St, Lagrange, IN 46761-1154 | 2006-07-11 |
| 1750338968 | Srinivas R Bramhadevi | Family Medicine | 1497 Lafayette Street, Lagrange, GA 30241-2552 | 2006-05-31 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1083607071 | Michael Lee Brackett | Family Medicine | 122a Gordon Commercial Dr, Lagrange, GA 30240-5740 | 2005-08-25 |
| Find all providers in LAGRANGE | ||||
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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.