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OLUFUNSHO ADEKUNLE MD
NPI 1275982209
Internal Medicine in Newnan, GA

Active since June 09, 2016PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
745 POPLAR RD, NEWNAN, GA 30265(770) 400-2353 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2024, Dec 4, 2020, Jul 8, 2019 (3 updates tracked since 2019).

About Olufunsho Adekunle Md NPPES

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

OLUFUNSHO ADEKUNLE MD (NPI 1275982209) is an individual internal medicine provider in Newnan, Georgia, licensed in Georgia (83571) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newnan Hospital, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275982209
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOLUFUNSHO ADEKUNLECredential: MD
Location Address745 POPLAR RDNewnan, GA 30265-1618
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 400-2353
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 9, 2016
Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1275982209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 83571
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 83571 (GA)
745 POPLAR RD, Newnan, GA 30265
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1743 Spring St NEGainesville, GA 30501 · Phone (770) 219-9000
Location 2720 Westview Dr SWAtlanta, GA 30310-1458 · Phone (404) 756-1368

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olufunsho Adekunle 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 ID4486940673
PECOS Enrollment IDI20190812003583
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Olufunsho Adekunle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Hospitalist Physicians LLC
32 mi
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
NPI 1548219660 (770) 801-2500
Northeast Georgia Physicians Group Inc
84 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
Phoebe Gastroenterology Associates
124 mi
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1659627131 (229) 312-0669

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
274 services96 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
52 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services48 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers70 claims70 services$18.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers72 claims72 services$100.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AUDREY FONKAM MD
Internal Medicine
745 POPLAR RD
NEWNAN, GA 30265
Coweta County (770) 400-2353
MARCUS STEPHEN WILBANKS
Registered Nurse
745 POPLAR RD
NEWNAN, GA 30265
Coweta County (770) 400-1000
GINA MARIE BARBER CRNA
Nurse Anesthetist, Certified Registered
745 POPLAR RD
NEWNAN, GA 30265
Coweta County (404) 351-1745
DARLENE RENE CRITTENDEN FNP
Nurse Practitioner
745 POPLAR RD
NEWNAN, GA 30265
Coweta County (404) 367-3014
DR. MICHAEL D MCEACHIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
745 POPLAR RD
NEWNAN, GA 30265
Coweta County (770) 400-2430
DR. ABLA KAFUI SOGBO M.D.
Hospitalist
745 POPLAR RD
NEWNAN, GA 30265
Coweta County (770) 400-2353
LINDSEY MEG PARTIN THOMAS NP
Physician Assistant (Medical)
745 POPLAR RD
NEWNAN, GA 30265
Coweta County (404) 367-3014
DIANA ALMA SANTIAGO MD
Radiology (Radiation Oncology)
745 POPLAR RD
NEWNAN, GA 30265
Coweta County (770) 400-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olufunsho Adekunle's NPI number?

The NPI number for Olufunsho Adekunle is 1275982209. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Olufunsho Adekunle located?

Olufunsho Adekunle practices at 745 Poplar Rd, Newnan, GA 30265. The listed phone number is (770) 400-2353.

What is Olufunsho Adekunle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Olufunsho Adekunle enrolled in Medicare?

Yes. Olufunsho Adekunle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Olufunsho Adekunle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olufunsho Adekunle reassigns Medicare benefits to 3 organizations: Piedmont Hospitalist Physicians LLC (Stockbridge, GA), Northeast Georgia Physicians Group Inc (Gainesville, GA) and Phoebe Gastroenterology Associates (Albany, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olufunsho Adekunle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olufunsho Adekunle accept?

Health plans from Alliant Health Plans, Inc. list Olufunsho Adekunle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Olufunsho Adekunle affiliated with any hospitals?

According to CMS data, Olufunsho Adekunle is affiliated with Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Olufunsho Adekunle was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.