IFEOLUWA AKISANYA
NPI 1538894472
Emergency Medicine in Austell, GA
About Ifeoluwa Akisanya NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IFEOLUWA AKISANYA (NPI 1538894472) is an individual emergency medicine provider in Austell, Georgia, licensed in Georgia (113461) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Wellstar Douglas Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Ifeoluwa Akisanya 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.
Medicare Billing Reassignment
Medicare enrollment records show Ifeoluwa Akisanya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 353 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Douglas Medical Center
Acute Care Hospitals · Douglasville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30106 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTELL, GA 30106
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 Ifeoluwa Akisanya's NPI number?
The NPI number for Ifeoluwa Akisanya is 1538894472. It was assigned to this individual provider in the NPPES registry on July 22, 2022.
Where is Ifeoluwa Akisanya located?
Ifeoluwa Akisanya practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-4000.
What is Ifeoluwa Akisanya's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ifeoluwa Akisanya enrolled in Medicare?
Yes. Ifeoluwa Akisanya 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 organization bills Medicare for Ifeoluwa Akisanya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ifeoluwa Akisanya reassigns Medicare benefits to The Bortolazzo Group, LLC (Austell, 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 Ifeoluwa Akisanya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ifeoluwa Akisanya affiliated with any hospitals?
According to CMS data, Ifeoluwa Akisanya is affiliated with Wellstar Douglas Medical Center.
When was this NPI record last updated?
The NPPES record for Ifeoluwa Akisanya was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Ifeoluwa Akisanya · NPI 1538894472
Emergency Medicine physician in Austell, Georgia. Individual provider, active in the CMS NPPES registry since July 22, 2022.
## Identity
- **NPI:** 1538894472 (Entity type: Individual)
- **Enumerated:** July 22, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 113461 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3950 AUSTELL RD, Austell, GA 30106-1121
- **Phone:** (770) 732-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Bortolazzo Group, LLC (NPI 1801965082, Austell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538894472) · Data from the CMS NPPES public registry.