DR. EWALOLA AYO IJADUOLA M.D
NPI 1306193016
Internal Medicine - Nephrology in Lawrenceville, GA

Q: What is Ewalola Ijaduola's NPI number?

The NPI number for Ewalola Ijaduola is 1306193016. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Q: What is Ewalola Ijaduola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Ewalola Ijaduola was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 13, 2012PECOS EnrolledAccepts Medicare Assignment

595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046(404) 645-7150(678) 433-9152 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2020, Jul 5, 2017 (2 updates tracked since 2017).

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About Dr. Ewalola Ayo Ijaduola M.d NPPES

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

DR. EWALOLA AYO IJADUOLA M.D (NPI 1306193016) is an individual nephrology provider in Lawrenceville, Georgia, licensed in Missouri (2016042861) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1306193016

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. EWALOLA AYO IJADUOLACredential: M.D

Location Address595 HURRICANE SHOALS RD NW STE 100Lawrenceville, GA 30046-8762

Mailing Address595 Hurricane Shoals Rd Nw Ste 100Lawrenceville, GA 30046-8762 · (404) 645-7150 · Fax (678) 433-9152

Phone(404) 645-7150

Fax(678) 433-9152

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 13, 2012

Last NPPES UpdateJune 4, 20202 updates tracked since enumeration

NPPES CertifiedJune 4, 2020

✔ NPI 1306193016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in MO · 2016042861✔ Licensed in GA · 81738

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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

595 HURRICANE SHOALS RD NW STE 100, Lawrenceville, GA 30046

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Ewalola Ayo Ijaduola M.d 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 ID4789995929

PECOS Enrollment IDI20190606000972

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

Medicare enrollment records show Ewalola Ijaduola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Morehouse Healthcare, Inc.

26 mi

Cardiovascular Disease

1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318

Reassigned Medicare billing, Georgia enrollment
322 clinicians in this Medicare group

NPI 1801832324 (404) 752-1000

Phoebe Dorminy Family Care

162 mi

Clinic/Center

110 NORMAN DORMINY DR
Fitzgerald, GA 31750

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Phoebe Physician Group Inc
1,118 clinicians in this Medicare group

NPI 1992084644 (229) 312-5800

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 4

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 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

223 services52 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services25 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.

29 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 20

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

DR. ANGUS C HOWARD JR. M.D.

Internal Medicine (Nephrology)