DR. ADEYEMI OLUMAYOWA GBOGBOADE MD - NPI 1275110496 - Family Medicine in Gainesville, GA

Q: What is Adeyemi Gbogboade's NPI number?

The NPI number for Adeyemi Gbogboade is 1275110496. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Adeyemi Gbogboade's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Adeyemi Gbogboade was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Adeyemi Olumayowa Gbogboade Md NPPES

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

DR. ADEYEMI OLUMAYOWA GBOGBOADE MD (NPI 1275110496) is an individual family medicine provider in Gainesville, Georgia, licensed in Georgia (98241) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275110496

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ADEYEMI OLUMAYOWA GBOGBOADECredential: MD

Location Address743 SPRING ST NE REAR 710Gainesville, GA 30501-3899

Mailing Address743 Spring St Ne Rear 710Gainesville, GA 30501-3899 · (770) 219-8730

Phone(770) 219-8730

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 24, 2021

Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1275110496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 98241

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

743 SPRING ST NE REAR 710, Gainesville, GA 30501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adeyemi Olumayowa Gbogboade Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577964519

PECOS Enrollment IDI20250110002231

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. RIAZ MAHMOOD DO

Internal Medicine