ADENIYI CAXTON BABALOLA MD
NPI 1497793970
Internal Medicine in Atlanta, GA

Active since June 04, 2006PECOS Enrolled
285 BOULEVARD NE STE 435, ATLANTA, GA 30312(404) 222-9914 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2018, Aug 30, 2016 (2 updates tracked since 2016).

About Adeniyi Caxton Babalola Md NPPES

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

ADENIYI CAXTON BABALOLA MD (NPI 1497793970) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (80177) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1497793970
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADENIYI CAXTON BABALOLACredential: MD
Location Address285 BOULEVARD NE STE 435Atlanta, GA 30312-4213
Mailing Address107 Westward Dr Unit 661112Miami Springs, FL 33266-0649 · (305) 321-5578
Sole ProprietorNo
Enumeration DateJune 4, 2006
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1497793970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 80177
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.
285 BOULEVARD NE STE 435, Atlanta, GA 30312

Secondary Practice Locations 4

Location 11475 Montreal Rd EastTucker, GA 30084-6922 · Phone (404) 222-9914
Location 2770 Greison TrlNewnan, GA 30263-6408 · Phone (404) 222-9914
Location 31365 Clifton Rd NEAtlanta, GA 30322-1013 · Phone (404) 778-5351
Location 43885 Princeton Lakes Way SW Ste 412Atlanta, GA 30331-5599 · Phone (404) 222-9914

Other Identifiers 1

Medicaid101907124PA

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)

Adeniyi Caxton Babalola 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.

Medicare Billing Reassignment

Medicare enrollment records show Adeniyi Babalola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
285 BOULEVARD NE STE 435&436
Atlanta, GA 30312
  • Reassigned Medicare billing, Georgia enrollment
  • 7 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.

Areas of Expertise CMS Part B claims

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.

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.
24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30312 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 2

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

Non-Pharmacy Dispensing Site
285 BOULEVARD NE STE 435
ATLANTA, GA 30312
Nurse Practitioner (Primary Care)
285 BOULEVARD NE STE 435
ATLANTA, GA 30312

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 Adeniyi Babalola's NPI number?

The NPI number for Adeniyi Babalola is 1497793970. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Adeniyi Babalola located?

Adeniyi Babalola practices at 285 Boulevard NE Ste 435, Atlanta, GA 30312. The listed phone number is (404) 222-9914.

What is Adeniyi Babalola's specialty?

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

Is Adeniyi Babalola enrolled in Medicare?

Yes. Adeniyi Babalola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adeniyi Babalola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeniyi Babalola reassigns Medicare benefits to Neighbormd Of Atlanta LLC (Atlanta, GA). The 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 Adeniyi Babalola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adeniyi Babalola accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Adeniyi Babalola 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.

When was this NPI record last updated?

The NPPES record for Adeniyi Babalola was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.