DR. OLASUPO ADEDAPO-JIMOH MD
NPI 1487017349
Psychiatry & Neurology - Psychiatry in Smyrna, GA
About Dr. Olasupo Adedapo-jimoh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OLASUPO ADEDAPO-JIMOH MD (NPI 1487017349) is an individual psychiatry provider in Smyrna, Georgia, licensed in Georgia (82273) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Olasupo Adedapo-jimoh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
10Medicare enrollment records show Olasupo Adedapo-jimoh reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, GA 30034
- Reassigned Medicare billing, Georgia enrollment
- 168 clinicians in this Medicare group
Villa Rica, GA 30180
- Reassigned Medicare billing, Georgia enrollment
- 73 clinicians in this Medicare group
Calhoun, GA 30701
- Reassigned Medicare billing, Georgia enrollment
- 384 clinicians in this Medicare group
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 clinicians in this Medicare group
St Augustine, FL 32092
- Reassigned Medicare billing, Florida enrollment
- 354 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan and Georgia enrollments
- Also billed through NPI 1487902995 (Georgia)
- 440 clinicians in this Medicare group
Cottage Grove, MN 55016
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tanner Medical Center - Carrollton
Acute Care Hospitals · Carrollton, GATanner Medical Center Villa Rica
Acute Care Hospitals · Villa Rica, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SMYRNA, GA 30080
SMYRNA, GA 30080
SMYRNA, GA 30080
SMYRNA, GA 30080
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 Olasupo Adedapo-jimoh's NPI number?
The NPI number for Olasupo Adedapo-jimoh is 1487017349. It was assigned to this individual provider in the NPPES registry on March 29, 2016.
Where is Olasupo Adedapo-jimoh located?
Olasupo Adedapo-jimoh practices at 2400 Herodian Way SE, Smyrna, GA 30080. The listed phone number is (404) 321-6111.
What is Olasupo Adedapo-jimoh's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Olasupo Adedapo-jimoh enrolled in Medicare?
Yes. Olasupo Adedapo-jimoh is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Olasupo Adedapo-jimoh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olasupo Adedapo-jimoh reassigns Medicare benefits to 10 organizations: Department Of Behavioral Health And Developmental Disabilities (Decatur, GA), Tmc-Behavioral Health Of West Georgia (Villa Rica, GA), Adventist Health System Georgia Inc (Calhoun, GA), Florida Clinical Practice Association Inc (Gainesville, FL), Villages Regional Hospital Physician Services LLC (St Augustine, FL) and 5 more organizations, listed in the Medicare section above. 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 Olasupo Adedapo-jimoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olasupo Adedapo-jimoh accept?
Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Oklahoma and Oscar Health list Olasupo Adedapo-jimoh 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 Olasupo Adedapo-jimoh affiliated with any hospitals?
According to CMS data, Olasupo Adedapo-jimoh is affiliated with Tanner Medical Center - Carrollton and Tanner Medical Center Villa Rica.
When was this NPI record last updated?
The NPPES record for Olasupo Adedapo-jimoh was last updated on June 4, 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.
# Dr. Olasupo Adedapo-Jimoh, MD · NPI 1487017349
Psychiatry physician in Smyrna, Georgia. Individual provider, active in the CMS NPPES registry since March 29, 2016.
## Identity
- **NPI:** 1487017349 (Entity type: Individual)
- **Enumerated:** March 29, 2016
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 82273 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2400 HERODIAN WAY SE, Smyrna, GA 30080-8581
- **Phone:** (404) 321-6111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Department Of Behavioral Health And Developmental Disabilities (NPI 1124254941, Decatur, GA); Tmc-Behavioral Health Of West Georgia (NPI 1356795462, Villa Rica, GA); Adventist Health System Georgia Inc (NPI 1699791343, Calhoun, GA); Florida Clinical Practice Association Inc (NPI 1063463768, Gainesville, FL); Villages Regional Hospital Physician Services LLC (NPI 1992639777, St Augustine, FL); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487017349) · Data from the CMS NPPES public registry.