ADEDOYIN OLUSOLA ADEMILUYI MD
NPI 1104765361
Student in an Organized Health Care Education/Training Program in Macon, GA

Q: What is Adedoyin Ademiluyi's NPI number?

The NPI number for Adedoyin Ademiluyi is 1104765361. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Q: What is Adedoyin Ademiluyi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 25, 2026PECOS Enrolled

380 HOSPITAL DR STE 430, MACON, GA 31217(478) 751-0367 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Adedoyin Olusola Ademiluyi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADEDOYIN OLUSOLA ADEMILUYI MD (NPI 1104765361) is an individual student in an organized health care education/training program in Macon, Georgia and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104765361

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameADEDOYIN OLUSOLA ADEMILUYICredential: MD

Location Address380 HOSPITAL DR STE 430Macon, GA 31217-8017

Mailing Address380 Hospital Dr Ste 430Macon, GA 31217-8017 · (478) 751-0367

Phone(478) 751-0367

Sole ProprietorNo

Enumeration DateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1104765361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

380 HOSPITAL DR STE 430, Macon, GA 31217

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adedoyin Olusola Ademiluyi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEBASTIAN ALAN MONTGOMERY MD

Internal Medicine